Robert Grzesiak O.D.

NPI 1073735783 - Optometrist - 152W00000X

NPI Details
NPI 1073735783
Gender Male
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
160 WALT WHITMAN RD # A
HUNTINGTON STATION NY, 11746-4130, US
Phone (631) 351-5355
Fax
Business Location
39 BALSAM DR
DIX HILLS NY, 11746-7724, US
Phone (631) 423-7026
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number VUT-005977-1
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According to our database, Dr. Robert Grzesiak O.D. NPI is 1073735783, taxonomy code is 152W00000X and license number is VUT-005977-1, license state is located at New York. Robert Grzesiak O.D. physically located at 160 Walt Whitman Rd # A, Huntington Station NY, 11746-4130. NPI Number Robert Grzesiak O.D. has the Individual type.

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1073735783 NPI number is provided on an as is basis without warranty of any kind. 1073735783 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Grzesiak O.D. are for informational purposes only.