Witrock, Andrew

Witrock, Andrew is an individual health care provider with primary practice located at 5225 Nesconset Hwy Ste 40 , Port Jefferson Station NY 11776-2060. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Witrock, Andrew can be contacted via phone (631) 928-2830.

Contact Information

Primary practice address
5225 Nesconset Hwy Ste 40 Port Jefferson Station NY 11776-2060
Phone: (631) 928-2830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 040514 New York

Profile Details

NPI number 1235479924
LBN Legal business name Witrock, Andrew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated Feb 18th, 2013 - about 13 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.

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