Individual
ANDREW WILLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11401 201ST ST, SAINT ALBANS, NY 11412-2810
(718) 464-2138
Mailing address
380 HOWARD AVE, WOODMERE, NY 11598-2940
(516) 765-0470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0601070
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2019
Last updated
06/30/2022
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