Waryold, Justin Michael

Waryold, Justin Michael is an individual health care provider with primary practice located at 267 E Main St Bldg C , Smithtown NY 11787. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Waryold, Justin Michael can be contacted via phone (631) 418-8069.

Contact Information

Primary practice address
267 E Main St Bldg C Smithtown NY 11787
Phone: (631) 418-8069
Fax: (631) 656-0470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 542942 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 304954 New York

Profile Details

NPI number 1619148327
LBN Legal business name Waryold, Justin Michael
Credentials DNP, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Apr 8th, 2022 - about 2 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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