Organization
NEW YORK SPECIALTY PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA ISABELA WORONIECKA M.D. (PARTNER)
(516) 570-0528
Entity
Organization
Contact information
Practice address
125 PLANDOME RD, MANHASSET, NY 11030-2331
(516) 570-0528
Mailing address
25 GILCHREST RD, GREAT NECK, NY 11021-1404
(516) 570-0528
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
206320
NY
2080P0210X
Pediatric Nephrology Physician
205912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01711802
—
NY
05
—
01711811
—
NY
01
—
5N5751
MEDICARE NUMBER
NY
Enumeration date
09/20/2006
Last updated
10/18/2010
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