Individual
BRYNN DZIEWIATOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 S BROADWAY, WHITE PLAINS, NY 10601-4413
(203) 409-2656
Mailing address
2525 NEWTOWN AVE, ASTORIA, NY 11102-2466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
545958
NY
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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