Individual
DOROTHY RACZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2714 172ND ST, FLUSHING, NY 11358-1140
(646) 238-1302
Mailing address
2714 172ND ST, FLUSHING, NY 11358-1140
(646) 238-1302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
339419-1
NY
363LF0000X
Family Nurse Practitioner
F339419-1
NY
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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