Individual provider · Type 1 NPI

Joel Augustus Willard

Student in an Organized Health Care Education/Training Program · New Hyde Park, NY

NPI number 1780260802 Active

Practice location

26901 76th Ave
New Hyde Park, NY 11040-1433

Call (833) 462-6436 Map

Mailing address

410 Lakeville Rd Ste 105
New Hyde Park, NY 11042-1102

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780260802

Joel Augustus Willard's National Provider Identifier is 1780260802, issued on Mar 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Hyde Park, NY. The record was last updated on Mar 19, 2021.