Individual
DR. JOAN A KEDZIORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
155 CANAL ST, NEW YORK, NY 10013-4511
(212) 219-9135
(212) 219-9291
Mailing address
155 CANAL ST, NEW YORK, NY 10013-4511
(212) 219-9135
(212) 219-9291
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
106709-1
NY
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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