Dr. Andrew Witrock
Prosthodontist
5225 Nesconset Hwy Ste 40
Port Jefferson Station
, New York 11776-2060
Dr. Andrew Witrock
Prosthodontist
5225 Nesconset Hwy Ste 40
Port Jefferson Station
, New York 11776-2060
(631) 928-2830
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Andrew Witrock
- 5225 Nesconset Hwy Ste 40
- Port Jefferson Station, NY
- Zip : 11776-2060
- Phone : (631) 928-2830
Second Address
- Dr. Andrew Witrock
- 5225 Nesconset Hwy Ste 40
- Port Jefferson Station, NY
- Zip : 11776-2060
- Phone : (631) 928-2830
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 040514 | NY |
National Provider Identifier
| NPI | 1235479924 |
|---|---|
| Provider Name | Dr. Andrew Witrock |
| First Address | Port Jefferson Station, NY 11776-2060 |
| Second Address | Port Jefferson Station, NY 11776-2060 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2013 |
| Last Update Date | 18/02/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.