Mr. Mark Paul Wilson, CRPAPROVISIONAL

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770397853

Mr. Mark Paul Wilson, CRPAPROVISIONAL is a Student in an Organized Health Care Education/Training Program in E Patchogue, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in: NY
In the registry since: 2025
Specialties on file: 2

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

E Patchogue, NY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Peer Specialist (primary)	Taxonomy 175T00000X (NY)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1770397853
Entity type	Individual (Type 1)
Gender	Male
Credentials	CRPAPROVISIONAL
Sole proprietor	Yes
NPI enumerated	February 6, 2025
Last updated in NPPES	February 21, 2025
Certification date	February 21, 2025