Individual
ANGELICA JOLANTA DZIEKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 PRINCE LN, WESTBURY, NY 11590-6228
(646) 895-0419
Mailing address
5 PRINCE LN, WESTBURY, NY 11590-6228
(646) 895-0419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
776939
NY
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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