Individual
MR. MAREK STAWIARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 NASSAU AVE, BROOKLYN, NY 11222-4004
(718) 389-6575
(718) 389-4977
Mailing address
145 NASSAU AVE, BROOKLYN, NY 11222-4004
(718) 389-6575
(718) 389-4977
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
194855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01516792
—
NY
01
—
0L185P
HIP
NY
01
—
194855-A22
HEALTH FIRST
—
01
—
5471261
AETNA
—
01
—
6012016
GHI
—
01
—
P418217
OXFORD
NY
Enumeration date
07/14/2006
Last updated
07/08/2007
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