Wielgus, Mark

Wielgus, Mark is an individual health care provider with primary practice located at 141 Dosoris Ln , Glen Cove NY 11542-1225. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wielgus, Mark can be contacted via phone (516) 676-1100.

Contact Information

Primary practice address
141 Dosoris Ln Glen Cove NY 11542-1225
Fax: (516) 579-0216
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009602 New York

Profile Details

NPI number 1295045706
LBN Legal business name Wielgus, Mark
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2010
Last updated Oct 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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