Provider Demographics
NPI:1336279298
Name:AIERSTOK, WILLIAM MATTHIAS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MATTHIAS
Last Name:AIERSTOK
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:18 HEWLETT ROAD
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1818
Mailing Address - Country:US
Mailing Address - Phone:845-758-1039
Mailing Address - Fax:845-876-2197
Practice Address - Street 1:46 BROOKMEADE DRIVE
Practice Address - Street 2:BROOKMEADE BAPTIST HOME
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-4646
Practice Address - Country:US
Practice Address - Phone:845-876-2071
Practice Address - Fax:845-876-2197
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NY128457208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY003185342Medicaid
AA7310105OtherDEA
AA7310105OtherDEA
30667100Medicare ID - Type Unspecified