Individual
DARIA BLYSKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
186 W MAIN ST, SUITE 10, SAYVILLE, NY 11782-2528
(631) 573-6522
(631) 760-8264
Mailing address
186 W MAIN ST, SUITE 10, SAYVILLE, NY 11782-2528
(631) 573-6522
(631) 760-8264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2554701
NY
207Q00000X
Family Medicine Physician
MT190816
PA
Other
Enumeration date
05/17/2007
Last updated
12/04/2016
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