Individual
MS. COLLEEN ANN GAJEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
24 CONCORD RD, SHIRLEY, NY 11967-2508
(631) 772-6435
Mailing address
24 CONCORD RD, SHIRLEY, NY 11967-2508
(631) 772-6435
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
276262
NY
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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