Organization
MARK KASZCZAK PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANDREW KASZCZAK MD (MD)
(914) 969-1775
Entity
Organization
Contact information
Practice address
69 WARING PLACE, YONKERS, NY 10703
(914) 969-1775
(914) 969-2415
Mailing address
69 WARING PLACE, YONKERS, NY 10703
(914) 969-1775
(914) 969-2415
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
178179
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01162665
—
NY
Enumeration date
10/23/2006
Last updated
04/13/2011
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