Jason Wilner

NPI #1790210201 in Roslyn, New York

Provider Information

NPI Number: 1790210201
Entity Type: Individual
Name: Jason Wilner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Apr 23, 2017
Last Updated: Apr 23, 2017

Practice Location

Address: 6 VERITY LN
City: Roslyn
State: New York
ZIP Code: 11576-2000
Phone: (516) 395-4014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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