Mark Grzesiak in Mineola - Physician Assistant

Mark Grzesiak - NPI 1376717272

Mark Grzesiak is a Physician Assistant in Mineola, New York. Mark Grzesiak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Grzesiak is 1376717272. The last update date is 2008-04-22.

Mark Grzesiak's current location address is 259 1st St, Mineola, New York. You can contact this provider via phone number 5166638312 and fax number 5166632184. The mailing address for Mark Grzesiak is 259 1st St, Mineola, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Grzesiak
Address 259 1st St, Mineola, New York
Phone Number 5166638312
Fax Number 5166632184
Sole Proprietor Y
Credentials RPAC

NPI Number Detail

NPI Number 1376717272
Provider Enumeration Date 2008-04-22
Last Updated Date 2008-04-22

Provider Mailing Address Detail

Address 259 1st St
City Mineola
State New York (NY)
Post Code 115013957
Phone Number 5166638312
Fax Number 5166632184

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 10785
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Mark Grzesiak

What is the unique 10-digit identifier code issued to Mark Grzesiak by the Centers for Medicare & Medicaid Services?

The Mark Grzesiak has been assigned the NPI (National Provider Identifier) 1376717272 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mark Grzesiak's facilities are geographically located?

The facilities of Mark Grzesiak are physically situated at the following location: 259 1St St, Mineola, NY, 115013957.

What is Mark Grzesiak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Grzesiak is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Mark Grzesiak receive its 1376717272 assignment from the Centers for Medicare & Medicaid Services?

The Mark Grzesiak was assigned its 1376717272 by the Centers for Medicare & Medicaid Services on 2008-04-22.

When was the information related to Mark Grzesiak most recently updated or refreshed?

The details pertaining to the Mark Grzesiak, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-22.

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