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JOSEPH WILSON
NPI 1558893479
Substance Abuse Rehabilitation Facility in Staten Island, NY

Active since March 30, 2017
273 HEBERTON AVENUE, STATEN ISLAND, NY 10302(718) 412-3170 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH WILSON (NPI 1558893479) is an individual substance abuse rehabilitation facility provider in Staten Island, New York and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1558893479
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameJOSEPH WILSON
Location Address273 HEBERTON AVENUEStaten Island, NY 10302
Mailing Address273 Heberton AvenueStaten Island, NY 10302 · (718) 412-3170
Phone(718) 412-3170
Sole ProprietorYes
Enumeration DateMarch 30, 2017
✔ NPI 1558893479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
273 HEBERTON AVENUE, Staten Island, NY 10302
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Wilson's NPI number?

The NPI number for Joseph Wilson is 1558893479. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Joseph Wilson located?

Joseph Wilson practices at 273 Heberton Avenue, Staten Island, NY 10302. The listed phone number is (718) 412-3170.

What is Joseph Wilson's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Joseph Wilson was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.