Individual
MALGORZATA STASIAK CARIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1220 PINE TREE RD, CUTCHOGUE, NY 11935-1555
(631) 727-2827
Mailing address
1220 PINE TREE RD, CUTCHOGUE, NY 11935-1555
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3024041
NY
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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