Individual
MR. ADAM SIUZDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4143 HYLAN BLVD, STATEN ISLAND, NY 10308-3308
(718) 233-1300
Mailing address
343 GEORGE ST, SOUTH AMBOY, NJ 08879-1739
(908) 217-6817
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023515-1
NY
Other
Enumeration date
11/02/2018
Last updated
07/29/2019
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