Organization
RICHARD ZAWISLAK NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ZAWISLAK (OWNER)
(516) 350-8564
Entity
Organization
Contact information
Practice address
165 N VILLAGE AVE STE 12, ROCKVILLE CENTRE, NY 11570-3701
(516) 350-8564
Mailing address
165 N VILLAGE AVE STE 12, ROCKVILLE CENTRE, NY 11570-3701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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