Individual
DR. ANDREW STEPHEN WILANTEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
282 NEW HACKENSACK RD, WAPPINGERS FALLS, NY 12590-1402
(845) 462-8637
(845) 462-1140
Mailing address
282 NEW HACKENSACK RD, WAPPINGERS FALLS, NY 12590-1402
(845) 462-8637
(845) 462-1140
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005494
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02062119
—
NY
Enumeration date
06/09/2005
Last updated
10/14/2010
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