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Anders K Waalen
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1336776806

Anders K Waalen is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Anders K Waalen practices in Port Jefferson, NY. The NPI Number for Anders K Waalen is 1336776806 and holds a License No. (New York).

The current practice location address for Anders K Waalen is 75 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-686-2518.

Location: 75 N Country Rd, Port Jefferson, NY, 11777-2190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336776806
Provider Name
Anders K Waalen
Credential
Provider Entity Type
Individual
Gender
Male
Address
75 N Country Rd, Port Jefferson, NY, 11777-2190
Phone Number
631-686-2518
Fax Number
Provider Enumeration Date
03/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
75 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2190
Phone Number
631-686-2518
Fax Number
person
Provider Business Mailing Address Details
Address
75 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2190
Phone Number
631-686-2518
Fax Number
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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