Provider Demographics
NPI:1740047612
Name:WESTMILLER, ANTHONY DAVID (PA)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:DAVID
Last Name:WESTMILLER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 PRESIDENTIAL PLZ APT 1103
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-2440
Mailing Address - Country:US
Mailing Address - Phone:315-604-1552
Mailing Address - Fax:
Practice Address - Street 1:60 PRESIDENTIAL PLZ APT 1103
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-2440
Practice Address - Country:US
Practice Address - Phone:315-604-1552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program