Walt Whitman Aa, Llc

NPI 1588004154 - Anesthesiology - 207L00000X

NPI Details
NPI 1588004154
Enumeration Date 06/27/2013
Last Updated 06/27/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JAY S JAY
Position PRESIDENT
Phone (631) 293-9700
Fax (631) 293-2021
Practice Location
1895 WALT WHITMAN RD
STE 10
MELVILLE NY, 11747-3031, US
Phone (631) 293-9700
Fax (631) 293-2021
Business Location
718 WALT WHITMAN RD
PO BOX 1109
MELVILLE NY, 11747-6600, US
Phone (631) 293-9700
Fax (631) 293-2021
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Walt Whitman Aa, Llc NPI is 1588004154, taxonomy code is 207L00000X Walt Whitman Aa, Llc physically located at 1895 Walt Whitman Rd, Melville NY, 11747-3031. NPI Number 1033115704 has the healthcare provider type.

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1588004154 NPI number is provided on an as is basis without warranty of any kind. 1588004154 is maintained by the National Plan & Provider Enumeration System. The contents of Walt Whitman Aa, Llc are for informational purposes only.