Individual
MICHAEL OZLO GUDLESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
114 AND AMSTERDAM AVE, ST LUKES HOSPITAL CONTUNUUM HEALTH, NEW YORK, NY 10009
(212) 533-4446
(212) 523-4598
Mailing address
10 STUYVESANT OVAL, APT 12A, NEW YORK, NY 10009-2424
(212) 674-3536
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
025171 1
NY
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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