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Individual

DR. JEFFREY LLOYD WILLIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
360 MONTAUK HWY, WEST ISLIP, NY 11795-4403
(631) 422-1110
Mailing address
360 MONTAUK HWY, WEST ISLIP, NY 11795-4403
(631) 422-1110

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
150543
NY
207W00000X
Ophthalmology Physician
Primary
ME110896
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004314500
FL
05
00951919
NY
Enumeration date
06/28/2006
Last updated
12/04/2012
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