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1457958118
BRIAN LUCAS KACZMAREK
STATEN ISLAND, NY
NPI
1457958118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY 705571)
Enumeration Date
2020-10-06
Last Update Date
2024-01-04
Business Address
BRIAN LUCAS KACZMAREK RN
380 GENESEE AVE
STATEN ISLAND, NY 10312-3296
Phone number: 718-984-3800
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Mailing Address
BRIAN LUCAS KACZMAREK RN
135 CORSON AVE
STATEN ISLAND, NY 10301-2933
Phone number: 917-719-1885
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