Wittpenn, John R

Wittpenn, John R is an individual health care provider with primary practice located at 4 Technology Dr Suite 150, East Setauket NY 11733-4080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wittpenn, John R can be contacted via phone (631) 941-1400.

Contact Information

Primary practice address
4 Technology Dr Suite 150 East Setauket NY 11733-4080
Phone: (631) 941-1400
Fax: (631) 941-1476
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 174403 New York

Profile Details

NPI number 1154326122
LBN Legal business name Wittpenn, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 18th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154326122 NPPES
New York MEDICAID 01086933

Popular Providers