MR. PAUL THOMAS WILSON


Address: 230 North Rd, Lexington Ctr for Recovery-mmtp, Poughkeepsie, NY 12601-1328
Phone: 8454862850

MR. PAUL THOMAS WILSON (NPI# 1770782997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770782997
Entity Type Individual
Full Name MR. PAUL THOMAS WILSON
Credential P.A.
Practice Address 230 North Rd
Lexington Ctr for Recovery-mmtp
Poughkeepsie
NY 12601-1328
Mailing Address 99 Hoof Print Rd
Millbrook
NY 12545-6001
Practice Telephone 8454862850
Practice Fax Number 8454862770
Mailing Telephone 8456778248
Enumeration Date 2007-07-17
Last Update Date 2007-07-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
002282-1 NY Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 230 NORTH RD
LEXINGTON CTR FOR RECOVERY-MMTP
City POUGHKEEPSIE
State NY
Zip Code 12601-1328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508858523 Christine Elizabeth Blossy Nurse Practitioner 230 North Rd, Poughkeepsie, NY 12601-1328 2005-08-16
1841890795 Emily Campanella Student in an Organized Health Care Education/Training Program 230 North Rd, Poughkeepsie, NY 12601-1328 2020-10-29
1043823040 Lea Tanenbaum Student in an Organized Health Care Education/Training Program 230 North Rd, Poughkeepsie, NY 12601-1328 2020-08-28
1558971523 Christine Knudsen Social Worker 230 North Rd, Poughkeepsie, NY 12601-1328 2020-08-05
1083223499 Alicia Baxter-alfred Social Worker 230 North Rd, Poughkeepsie, NY 12601-1328 2020-07-31
1730710385 Barrington Randall Atkins Social Worker 230 North Rd, Poughkeepsie, NY 12601-1328 2020-02-03
1417593633 Brian Delsanto Social Worker 230 North Rd, Poughkeepsie, NY 12601-1328 2019-11-22
1811533169 Hannah Brinnier Social Worker 230 North Rd, Poughkeepsie, NY 12601-1328 2019-11-21
1457995193 Michael Levinson Marriage & Family Therapist 230 North Rd, Poughkeepsie, NY 12601-1328 2019-11-06
1164065918 Cora Keith Registered Nurse 230 North Rd, Poughkeepsie, NY 12601-1328 2019-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194348425 Hudson Valley Radiologists, PC Radiology 57 Kingwood Park, Poughkeepsie, NY 12601 2020-05-21
1063049088 Jaquellah Taylor Student in an Organized Health Care Education/Training Program Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 2020-03-27
1053957050 Jasmine Syin-lan Miller Student in an Organized Health Care Education/Training Program 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 2019-11-25
1144864224 Kim Beverly Technician 16 Tamidan Road, Poughkeepsle, NY 12601 2019-11-01
1851852768 Marwa H Abdalla Student in an Organized Health Care Education/Training Program Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 2019-03-26
1619459047 Victoria Bozydaj Occupational Therapy Assistant 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 2018-09-01
1821589953 Avo Gregory Serafino Physician Assistant 228 Donnelly, Poughkeepsie, NY 12601 2018-05-24
1649771486 Raewyn Kalisha Clayton Registered Nurse 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 2018-02-27
1780108761 Ronica Dorothy White Licensed Practical Nurse 7c Muldowney Circle, Poughkeepsie, NY 12601 2017-08-01
1336662048 Ashley Elizabeth Travers Licensed Practical Nurse 100 Innis Ave, Poughkeepsie, NY 12601 2017-07-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679962690 Adam Moscicki Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2015-01-14
1457762460 Westchester Medical Regional Physician Services, PC Physician Assistant 241 North Rd, Poughkeepsie, NY 12601-1154 2014-05-13
1225313430 Brandon J Ballister Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2011-10-19
1407134380 Nicole Pasheek Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2011-07-27
1154619831 Jessica Beth Wayman Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2011-07-15
1194017772 Jonathan Thomas Humphreys Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2011-05-13
1932434412 Alyssa F Ludwin Physician Assistant 21 Reade Pl Ste 3200, Poughkeepsie, NY 12601-3944 2009-10-16
1619202397 Rachel Snider Physician Assistant 19 Baker Ave, Poughkeepsie, NY 12601-1359 2009-10-13
1346492238 Vicenta Maria Montgomery I Physician Assistant 1 Columbia St, Dra Imaging, PC, Poughkeepsie, NY 12601-3923 2008-10-22
1093832099 Ronda Debra Kosseff-salchert Physician Assistant 301 Manchester Rd, Poughkeepsie, NY 12603-2586 2007-03-23
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Competitor

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City POUGHKEEPSIE
Zip Code 12601

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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