Will, Michael Vincent
Will, Michael Vincent is an individual health care provider with primary practice located at 55 Carleton Ave , East Islip NY 11730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Will, Michael Vincent can be contacted via phone (631) 859-0994.Contact Information
Primary practice address
55 Carleton Ave
East Islip NY 11730
Phone: (631) 859-0994
Fax: (631) 859-0154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 1789481 | New York |
Profile Details
| NPI number | 1760507552 |
|---|---|
| LBN Legal business name | Will, Michael Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1760507552 | NPPES |
| New York | MEDICAID | 01617514 |
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