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Individual

DR. MARK GREGORY WINIARSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009774
NY
103TC0700X
Clinical Psychologist
009774
NY
103TH0004X
Health Psychologist
009774
NY

Other

Enumeration date
10/17/2008
Last updated
10/17/2008
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