Individual
ROSEMARY WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 POLY PL, LAB SERVICE, BROOKLYN, NY 11209-7104
(718) 836-6600
(212) 951-6341
Mailing address
800 POLY PL, LAB SERVICE, BROOKLYN, NY 11209-7104
(718) 836-6600
(212) 951-6341
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
Primary
155089-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
155089-1
NY
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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