Individual
CHRISTOPHER J KACZMARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 N MIDLAND AVE FL 2, NYACK, NY 10960-1912
(845) 348-7600
(845) 348-2536
Mailing address
305 ORCHARD AVE, LANGHORNE, PA 19047-3159
(609) 760-3014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD063400L
PA
208600000X
Surgery Physician
Primary
148896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01231790
—
NY
01
—
J400523903
MEDICARE
NY
Enumeration date
07/04/2006
Last updated
01/28/2019
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