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Individual
RICHARD ZAWISLAK
Active
Individual
RICHARD ZAWISLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
628799
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404205
NY
Other
Enumeration date
12/14/2015
Last updated
11/29/2022
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