Individual
MRS. EVA M. TACZANOWSKI BERSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
833 NORTHERN BLVD, GREAT NECK, NY 11021-5315
(516) 498-8400
(516) 498-8404
Mailing address
2A JOEL PL, PORT WASHINGTON, NY 11050-3442
(516) 944-4009
(516) 944-4009
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005719-1
NY
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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