Individual
ROBERT WIRSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2078
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
194564-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01654833
—
NY
Enumeration date
01/04/2006
Last updated
11/11/2022
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