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Individual

BRIAN WROBLEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2049 GEORGE URBAN BLVD, DEPEW, NY 14043-1823
(716) 901-8700
Mailing address
2049 GEORGE URBAN BLVD, DEPEW, NY 14043-1823

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026006-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026006-01
NY
Enumeration date
09/29/2021
Last updated
09/29/2021
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