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Andrew Willner

Dentist, General Practice in Saint Albans, NY. Individual provider (NPI-1).

NPI number1083172472
StatusActive
Last updated in NPPESJun 30, 2022

Details

NPI
1083172472
Entity type
Individual (NPI-1)
Name
Andrew Willner
Sex
Male
Sole proprietor
No
Enumeration date
Mar 5, 2019
Certification date
Jun 30, 2022
Last updated
Jun 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0601070NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

11401 201st St
Saint Albans, NY 11412-2810

Phone 718-464-2138

Mailing address

380 Howard Ave
Woodmere, NY 11598-2940

Phone 516-765-0470

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