Individual
MARK KASZCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
69 WARING PL, YONKERS, NY 10703-2705
(914) 969-1775
(914) 969-2415
Mailing address
69 WARING PL, YONKERS, NY 10703-2705
(914) 969-1775
(914) 969-2415
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
178179
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01162665
—
NY
01
—
37F53
MEDICARE
NY
Enumeration date
10/07/2011
Last updated
10/07/2011
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