Organization
MID HUDSON PODIATRY, PLLC
Active
Other names
Andrew S. Wilantewicz, DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW S. WILANTEWICZ DPM (PODIATRIC PHYSICIAN/OWNER)
(845) 462-8637
Entity
Organization
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
261QP1100X
Podiatric Clinic/Center
Primary
N005494
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02062119
—
NY
Enumeration date
04/08/2008
Last updated
08/04/2010
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