Individual
MR. STANISLAUS DASHAWETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
236 CRAGSMOOR RD, CRAGSMOOR, NY 12420-0344
(845) 647-7067
Mailing address
PO BOX 1000, 1 PRISON RD, WOODBOURNE, NY 12788-1000
(845) 434-7730
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
F302769-1
NY
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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