Individual
PETER WOJTACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 GRAND CONCOURSE, DEPT OF ANESTHESIA, BRONX, NY 10457-7606
(718) 466-8153
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
526220
NY
Other
Enumeration date
12/28/2011
Last updated
02/15/2012
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