Individual
MR. WALTER ANTHONY NOWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 FRONTIER LN, EAST NORTHPORT, NY 11731-5520
(516) 707-8002
Mailing address
19 FRONTIER LN, EAST NORTHPORT, NY 11731-5520
(516) 707-8002
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
6289
NY
225700000X
Massage Therapist
20467
NY
Other
Enumeration date
08/30/2018
Last updated
11/15/2018
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