MARK GRZESIAK

MINEOLA, NY
NPI1376717272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  010785)
Enumeration Date2008-04-22
Last Update Date2008-04-22
Business Address
Mr. MARK GRZESIAK RPAC
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8312
Mailing Address
Mr. MARK GRZESIAK RPAC
700 HICKSVILLE RD SUITE 204
BETHPAGE, NY 11714-3471
Phone number: 516-576-6106