SearchNew York208600000X

Sean Willis, DO

NPI 1710484910 · on the registry since 2018

Practice

Address
2000 N Village Ave Ste 211
Rockville Centre, NY 11570
Phone
(516) 714-3743
Organisation at this address
Fontak Inc
Ihor Magun Md
Mercy Dental Llc
Bijan Setareh Md
Sze Fong Ng Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
63

Additional practice sites

  • 311 N Clyde Morris Blvd, Daytona Beach, FL
  • 43 New Scotland Ave, Albany, NY
  • 1600 Sw Archer Rd, Gainesville, FL

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
2086S0102X
2086S0127X
Licence states on file
NY, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York