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1649506742
MARK P GAWARECKI
STONY BROOK, NY
NPI
1649506742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013641)
Enumeration Date
2009-10-23
Last Update Date
2022-07-07
Business Address
Mr. MARK P GAWARECKI PA-C
101 NICOLLS RD
STONY BROOK, NY 11794-1619
Phone number: 631-689-8333
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Mailing Address
Mr. MARK P GAWARECKI PA-C
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-689-8333
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