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Organization
WALT WHITMAN AA, LLC
Active
Organization
WALT WHITMAN AA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY S YOUNGERMAN MD (PRESIDENT)
(631) 293-9700
Entity
Organization
Contact information
Practice address
1895 WALT WHITMAN RD, STE 10, MELVILLE, NY 11747-3031
(631) 293-9700
(631) 293-2021
Mailing address
718 WALT WHITMAN RD, PO BOX 1109, MELVILLE, NY 11747-6600
(631) 293-9700
(631) 293-2021
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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