Individual
AGATA MIELCZAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84A MILLS AVE, STATEN ISLAND, NY 10305-4524
(347) 757-1266
Mailing address
84A MILLS AVE, STATEN ISLAND, NY 10305-4524
(347) 757-1266
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
134106381
NY
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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