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JUSTIN WILLER MDPC NPI 1902091374


NPI Information

NPI: 1902091374
Provider Name: JUSTIN WILLER MD,PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
729 OCEAN PKWY
BROOKLYN, NY
ZIP 11230
Phone: (718) 859-8920
Get Directions

JUSTIN WILLER MD,PC is a neurology psychiatry neurology in Brooklyn, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. JUSTIN WILLER MD,PC NPI is 1902091374. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

729 OCEAN PKWY
BROOKLYN, NY
ZIP 11230-113
Phone: (718) 859-8920
Fax: (718) 859-7438

The provider's authorized official is Justin Aaron Willer .
The authorized official title is Owner and has the following contact phone number (917) 887-1678.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 9/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology174836NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101085625MEDICAIDNEW YORK
2A61520MEDICARE UPINNEW YORK
324E841MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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