Individual
DR. ANDRZEJ KUDELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 PELLEGRINO RD, Z8151, STONY BROOK, NY 11794-8151
(631) 638-0910
(631) 638-0195
Mailing address
3 PELLEGRINO RD, Z8151, STONY BROOK, NY 11794-8151
(631) 638-0910
(631) 638-0195
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
240693
NY
208M00000X
Hospitalist Physician
240693
NY
Other
Enumeration date
09/11/2006
Last updated
06/05/2013
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