MICHAEL WYSOTA

BRONX, NY
NPI1619472594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-24
Last Update Date2018-03-24
Business Address
-- MICHAEL WYSOTA MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 186-663-3825
Mailing Address
-- MICHAEL WYSOTA MD
313 MILL SPRING RD
MANHASSET, NY 11030-3624
Phone number: 516-521-8811
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