Wilantewicz, Andrew Stephen
Wilantewicz, Andrew Stephen is an sole proprietor health care provider with primary practice located at 282 New Hackensack Rd , Wappingers Falls NY 12590-1402. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wilantewicz, Andrew Stephen can be contacted via phone (845) 462-8637.Contact Information
Primary practice address
282 New Hackensack Rd
Wappingers Falls NY 12590-1402
Phone: (845) 462-8637
Fax: (845) 462-1140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N005494 | New York |
Profile Details
| NPI number | 1457355224 |
|---|---|
| LBN Legal business name | Wilantewicz, Andrew Stephen |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Oct 14th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457355224 | NPPES |
| New York | MEDICAID | 02062119 |
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