Individual
AMY-JO WILLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BURKE LN, SYOSSET, NY 11791-3931
(516) 921-8337
(516) 921-1389
Mailing address
4 BURKE LN, SYOSSET, NY 11791-3931
(516) 921-8337
(516) 921-1389
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7090-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1791597
—
NY
Enumeration date
07/15/2009
Last updated
07/15/2009
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