Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0900X | Dermatopathologist | 141142 | NY |
NPI | 1487633970 |
---|---|
Provider Name | Dr. Wojciech Szaniawski |
First Address | Palm Beach Gardens, FL 33418-4204 |
Second Address | Port Chester, NY 10573-4943 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B19183 | (02) | NY |