Individual
JAYNE ELIZABETH SOWULEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
140 ADAMS AVE, HAUPPAUGE, NY 11788-3618
(631) 617-6011
Mailing address
140 ADAMS AVE, HAUPPAUGE, NY 11788-3618
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
4255
NY
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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