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Individual
MATHEW JANCZAK
Active
Individual
MATHEW JANCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035508
NEW YORK STATE PHYSICAL THERAPY LICENSE NUMBER
NY
Enumeration date
01/23/2020
Last updated
11/27/2023
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