Individual
AGNIESZKA KATARZYNA PAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 PIERRE DR, COMMACK, NY 11725-4410
(347) 254-2755
Mailing address
12 PIERRE DR, COMMACK, NY 11725-4410
(347) 254-2755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
639685-01
NY
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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