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Individual

DR. BRIAN STANIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
6204B WOODHAVEN BLVD, REGO PARK, NY 11374-2881
(718) 899-2001
Mailing address
3775 63RD ST APT A43, WOODSIDE, NY 11377-2653

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066437
NY
183500000X
Pharmacist
28RI04076700
NJ

Other

Enumeration date
12/24/2019
Last updated
01/16/2020
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