WILLIAM VANDERWALL

BROOKLYN, NY
NPI1205123783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  014744)
Enumeration Date2011-07-05
Last Update Date2011-07-05
Business Address
-- WILLIAM VANDERWALL P.A.-C
121 DEKALB AVE
BROOKLYN, NY 11201-5425
Phone number: 718-250-8000
Mailing Address
-- WILLIAM VANDERWALL P.A.-C
1288 1ST AVE APT 5FS
NEW YORK, NY 10021-5568
Phone number:
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