Individual
JOHN STEVEN WALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1165 NORTHERN BLVD, SUITE 405, MANHASSET, NY 11030-3048
(516) 365-8030
(516) 365-8058
Mailing address
1165 NORTHERN BLVD, SUITE 405, MANHASSET, NY 11030-3048
(516) 365-8030
(516) 365-8058
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
191586
NY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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