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Individual
GREGORY A CZAJKA
Active
Individual
GREGORY A CZAJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026511001
UNIVERA HEALTHCARE
NY
01
—
000570002005
BLUE CROSS BLUE SHIELD
NY
05
—
01412591
—
NY
01
—
9512079
INDEPENDENT HEALTH
NY
01
—
970007176
RAILROAD MEDICARE
—
Enumeration date
12/14/2005
Last updated
01/18/2017
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