Individual
PIOTR PRYSTUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
95 GRASSLANDS RD, WMC -CTS MACY PAVILLION, VALHALLA, NY 10595
(914) 493-7676
Mailing address
95 GRASSLANDS RD, WMC -CTS MACY PAVILLION, VALHALLA, NY 10595-1646
(914) 493-7676
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007010
NY
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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