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Individual

DR. WILLIAM A. PURTILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
990 STEWART AVENUE, SUITE L32, GARDEN CITY, NY 11530
(516) 466-0485
(516) 304-5394
Mailing address
990 STEWART AVE, SUITE L32, GARDEN CITY, NY 11530
(516) 466-0485
(516) 304-5394

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
203061
NY
2086S0129X
Vascular Surgery Physician
203061-0
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01753699
NY
Enumeration date
11/23/2005
Last updated
12/11/2012
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