Individual
DR. ROBERT GRZESIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
160 WALT WHITMAN RD # A, HUNTINGTON STATION, NY 11746-4130
(631) 351-5355
Mailing address
39 BALSAM DR, DIX HILLS, NY 11746-7724
(631) 423-7026
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT-005977-1
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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