Individual
KORNELIA MIERZEJEWSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 MEADOWLARK LN, WOODRIDGE, NY 12789-5813
(347) 515-5551
Mailing address
53 MEADOWLARK LN, WOODRIDGE, NY 12789-5813
(347) 515-5551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010690
NY
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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