Individual
DR. GEORGE KUCZABSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 RICHMOND RD, STATEN ISLAND, NY 10306-2574
(718) 720-9040
(718) 720-9041
Mailing address
PO BOX 140399, STATEN ISLAND, NY 10314-0399
(718) 720-9040
(718) 720-9041
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
212569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01978303
—
NY
Enumeration date
11/22/2006
Last updated
11/10/2008
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