Individual
MRS. DONNA MARY KUZMISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
SOUTHSIDE HOSPITAL, 301 E MAIN ST, BAY SHORE, NY 11706
(631) 968-3000
Mailing address
5319 N EDGEWOOD AVE, HEBER CITY, UT 84032-5566
(801) 828-8094
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005542-1
NY
363AS0400X
Surgical Physician Assistant
5951647-1206
UT
Other
Enumeration date
10/12/2006
Last updated
01/04/2019
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