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Individual

DR. ALEKSANDRA A WIANECKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
66 DEER PARK AVE, BABYLON, NY 11702-2802
(631) 789-6103
(631) 789-6105
Mailing address
66 DEER PARK AVE, BABYLON, NY 11702-2802
(631) 789-6103
(631) 789-6103

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T006534
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7077519
AETNA
NY
01
C337F1
EMPIRE BC.BS
NY
Enumeration date
06/17/2006
Last updated
02/04/2022
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