Individual
MRS. ALIZA WIELGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
322 MADISON AVE, CEDARHURST, NY 11516-1434
(917) 557-7043
Mailing address
322 MADISON AVE, CEDARHURST, NY 11516-1434
(917) 557-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
631221
NY
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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