Individual
CAROLYNN ZALESAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 DEAUVILLE BLVD, COPIAGUE, NY 11726-4104
(631) 601-4798
Mailing address
31 DEAUVILLE BLVD, COPIAGUE, NY 11726-4104
(631) 601-4798
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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