Individual
NICOLE ANNA WALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5000
Mailing address
170 WILLIAM ST, NEW YORK, NY 10038-2612
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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