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:
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Health care specialties

SpecialtyCodeLicense #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 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457355224 NPPES
New York MEDICAID 02062119

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