Organization
JUSTIN WILLER MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN AARON WILLER MD (OWNER)
(917) 887-1678
Entity
Organization
Contact information
Practice address
729 OCEAN PKWY, BROOKLYN, NY 11230-1113
(718) 859-8920
(718) 859-7438
Mailing address
705 ARBUCKLE AVE, WOODMERE, NY 11598-2703
(718) 859-8920
(718) 859-7438
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
174836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01085625
—
NY
Enumeration date
09/10/2007
Last updated
09/10/2007
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