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Provider Information for 1487863338



DR. ROBERT JOSHUA WIND DDS

Gender: MALE

Individual NPI: 1487863338

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1487863338
Enumeration Date 2007-05-21
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2 EXECUTIVE BLVD SUITE 402
SUFFERN, NY 10901-4164
United States

Phone: 845-357-6875 | Fax: 845-357-6994
View Map External Link
Primary Practice Address 2 EXECUTIVE BLVD SUITE 402
SUFFERN, NY 10901-4164
United States

Phone: 845-357-6875 | Fax: 845-357-6994
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NY 044634