Ian Western
NPI #1043648884 in Amityville, New York
Provider Information
- NPI Number
- 1043648884
- Entity Type
- Individual
- Name
- Ian Western
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 14, 2013
- Last Updated
- Oct 14, 2013
Practice Location
- Address
- 60 FRANKLIN ST
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-3502
- Phone
- (631) 598-1925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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