Individual
RICHARD DZIENNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4712
(607) 737-9080
Mailing address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4712
(607) 737-9080
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401726
NY
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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