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Individual

MRS. AGNIESZKA MERGO-BIELECKA II

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9511 63RD DR, REGO PARK, NY 11374-2024
(718) 897-0803
(718) 897-0804
Mailing address
9511 63RD DR, REGO PARK, NY 11374-2024
(718) 897-0803
(718) 897-0804

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
055647
NY
183500000X
Pharmacist
Primary
28RI02936400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295750768
NY
Enumeration date
03/06/2008
Last updated
04/23/2020
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