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Wyatt Austin Richter
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1235837147

Wyatt Austin Richter is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Wyatt Austin Richter practices in Stony Brook, NY. The NPI Number for Wyatt Austin Richter is 1235837147 and holds a License No. (New York).

The current practice location address for Wyatt Austin Richter is Suny At Stony Brook, Department Of Hospital Dentistry, Stony Brook, NY and can be reached out via phone at 631-444-2557 and via fax at 631-444-6013.

Location: Suny At Stony Brook, Department Of Hospital Dentistry, Stony Brook, NY, 11794-8711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235837147
Provider Name
Wyatt Austin Richter
Credential
Provider Entity Type
Individual
Gender
Male
Address
Suny At Stony Brook, Department Of Hospital Dentistry, Stony Brook, NY, 11794-8711
Phone Number
631-444-2557
Fax Number
631-444-6013
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Suny At Stony Brook, Department Of Hospital Dentistry
City
Stony Brook
State
New York
Zip
11794-8711
Phone Number
631-444-2557
Fax Number
631-444-6013
person
Provider Business Mailing Address Details
Address
Suny At Stony Brook, Department Of Hospital Dentistry
City
Stony Brook
State
New York
Zip
11794-8711
Phone Number
631-444-2557
Fax Number
631-444-6013
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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