| Justin Willer Md,pc | |
|
729 Ocean Pkwy Brooklyn NY 11230-1113 | |
| (718) 859-8920 | |
| (718) 859-7438 |
| Full Name | Justin Willer Md,pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 729 Ocean Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Justin Aaron Willer (OWNER) |
| Authorized Official Contact | 9178871678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Willer Md,pc 705 Arbuckle Ave Woodmere NY 11598-2703 Ph: (718) 859-8920 | Justin Willer Md,pc 729 Ocean Pkwy Brooklyn NY 11230-1113 Ph: (718) 859-8920 |
| NPI Number | 1902091374 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 09/10/2007 |
| Medicare PECOS PAC ID | 9133217532 |
|---|---|
| Medicare Enrollment ID | O20071119000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902091374 | NPI | - | NPPES |
| 01085625 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 174836 (New York) | Primary |
| Provider Name | Justin A Willer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194719146 PECOS PAC ID: 5991890774 Enrollment ID: I20071009000600 |
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