Basic Information
Provider Information
NPI: 1619111564
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOY
FirstName: ANDREW
MiddleName: WING
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3421 VILLA LN
Address2: SUITE 2B
City: NAPA
State: CA
PostalCode: 945583056
CountryCode: US
TelephoneNumber: 7072555454
FaxNumber:  
Practice Location
Address1: 3421 VILLA LN
Address2: SUITE 2B
City: NAPA
State: CA
PostalCode: 945583056
CountryCode: US
TelephoneNumber: 7072555454
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/22/2009
LastUpdateDate: 02/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000X000NYN Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 
208100000XA123020CAY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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