IAN WESTERN

AMITYVILLE, NY
NPI1043648884
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2013-10-14
Last Update Date2013-10-14
Business Address
-- IAN WESTERN
60 FRANKLIN ST
AMITYVILLE, NY 11701-3502
Phone number: 631-598-1925
Mailing Address
-- IAN WESTERN
60 FRANKLIN ST
AMITYVILLE, NY 11701-3502
Phone number: 631-598-1925