Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 036075275 | IL |
N | 207Q00000X | Family Doctor | 036075275 | IL |
NPI | 1497780886 |
---|---|
Provider Name | Dr. William W Briner JR. |
First Address | Uniondale, NY 11553-3610 |
Second Address | Uniondale, NY 11553-3610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 27/01/2021 |