Maciej J Mazurkiewicz, PA-C
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1164070959
StatusActive
Last updated in NPPESAug 27, 2019
Details
- NPI
- 1164070959
- Entity type
- Individual (NPI-1)
- Name
- Maciej J Mazurkiewicz
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2019
- Last updated
- Aug 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 023927 | NY | Yes |
Practice location
100 E 77th StNew York, NY 10075-1850
Phone 212-434-2000
Mailing address
2700 Bedford St Apt LStamford, CT 06905-3935
Phone 203-273-0953
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