Individual
DR. WILLIAM JOHN CLOSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
179 JAYNE AVE, PATCHOGUE, NY 11772-2836
(516) 527-2153
(631) 337-4094
Mailing address
179 JAYNE AVE, PATCHOGUE, NY 11772-2836
(516) 527-2153
(631) 337-4094
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
CLOSW1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01424097
—
NY
Enumeration date
06/03/2013
Last updated
06/03/2013
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