Individual
ANDREW BRACCO BLASZCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-7411
Mailing address
101 NICOLLS RD RM 20, STONY BROOK, NY 11794-0001
(631) 444-7411
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/21/2024
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