Individual
LIGAYA PRYSTOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
665 FRANKLIN AVE, NUTLEY, NJ 07110-1209
(973) 667-4008
(973) 667-1655
Mailing address
665 FRANKLIN AVE, NUTLEY, NJ 07110-1209
(973) 667-4008
(973) 667-1655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA04185000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1582003
—
NJ
Enumeration date
11/23/2005
Last updated
10/11/2007
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