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Joel Augustus Willard
Student in an Organized Health Care Education/Training Program in New Hyde Park, New York
NPI 1780260802

Joel Augustus Willard is a Student in an Organized Health Care Education/Training Program based in New Hyde Park, NY. Joel Augustus Willard practices in New Hyde Park, NY. The NPI Number for Joel Augustus Willard is 1780260802 and holds a License No. (New York).

The current practice location address for Joel Augustus Willard is 26901 76Th Ave, New Hyde Park, NY and can be reached out via phone at 833-462-6436.

Location: 26901 76Th Ave, New Hyde Park, NY, 11042-1102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780260802
Provider Name
Joel Augustus Willard
Credential
Provider Entity Type
Individual
Gender
Male
Address
26901 76Th Ave, New Hyde Park, NY, 11042-1102
Phone Number
833-462-6436
Fax Number
Provider Enumeration Date
03/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26901 76Th Ave
City
New Hyde Park
State
New York
Zip
11040-1433
Phone Number
833-462-6436
Fax Number
person
Provider Business Mailing Address Details
Address
26901 76Th Ave
City
New Hyde Park
State
New York
Zip
11040-1433
Phone Number
833-462-6436
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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