Individual
DOROTHY E GOZDZIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-1202
Mailing address
PO BOX 5072, HAUPPAUGE, NY 11788-0608
(631) 748-4363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
677403-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
677403-1
NY
Other
Enumeration date
10/30/2020
Last updated
11/06/2020
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