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Individual

AUSTIN JOSEPH MIZERAK I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2330 UNION BLVD, ISLIP, NY 11751-3172
(631) 377-7000
Mailing address
2330 UNION BLVD, ISLIP, NY 11751-3172

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
P138190
NY

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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