Individual
MACIEJ NOWAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
93 PENNSYLVANIA AVE, BINGHAMTON, NY 13903-1645
(607) 762-2048
(607) 762-3496
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 762-2048
(607) 762-3496
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
233376
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
233376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02645509
—
NY
05
—
2101351
—
MA
Enumeration date
09/13/2005
Last updated
05/01/2014
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