Wilson, Daniel Mark

Wilson, Daniel Mark is an individual health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Wilson, Daniel Mark can be contacted via phone (631) 376-4444.

Contact Information

Primary practice address
1000 Montauk Hwy West Islip NY 11795-4927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 015362-1 New York

Profile Details

NPI number 1316210131
LBN Legal business name Wilson, Daniel Mark
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2012
Last updated Feb 22nd, 2012 - about 12 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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