Individual
DR. ROBERT P WORONIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NICOLLS RD # LEVEL11, STONY BROOK, NY 11794-8111
(631) 444-7884
Mailing address
25 GILCHREST RD, GREAT NECK, NY 11021-1404
(516) 466-0476
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
205912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01711802
—
NY
Enumeration date
10/08/2005
Last updated
07/05/2013
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