Individual
DR. HENRYK PRUSACZYK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1072 TROY SCHENECTADY RD, NEW ENGLAND LASER AND COSMETIC SURGERY CENTER, LATHAM, NY 12110-1025
(518) 783-0035
(518) 786-1160
Mailing address
PO BOX 11716, ALBANY, NY 12211-0716
(518) 783-0035
(518) 786-1160
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
194956
NY
Other
Enumeration date
07/21/2005
Last updated
07/08/2007
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