NPI 1558893479
Joseph Wilson
Practice location
- Address
- 273 Heberton Avenue, Staten Island, NY 10302
- Phone
- (718) 412-3170
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1558893479
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Mar 2017
- Record last updated
- 30 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.