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1568895514
STANISLAUS DASHAWETZ
CRAGSMOOR, NY
NPI
1568895514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
364SA2200X Clinical Nurse Specialist, Adult Health
(Licence: NY f302769-1)
Enumeration Date
2013-08-14
Last Update Date
2013-08-14
Business Address
Mr. STANISLAUS DASHAWETZ anp
236 CRAGSMOOR RD
CRAGSMOOR, NY 12420-0344
Phone number: 845-647-7067
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Mailing Address
Mr. STANISLAUS DASHAWETZ anp
PO BOX 1000 1 PRISON RD
WOODBOURNE, NY 12788-1000
Phone number: 845-434-7730
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