John Steven Walczyk
Dermatologist
1165 Northern Blvd Suite 405
Manhasset
, New York 11030-3048
John Steven Walczyk
Dermatologist
1165 Northern Blvd Suite 405
Manhasset
, New York 11030-3048
(516) 365-8058
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- John Steven Walczyk
- 1165 Northern Blvd Suite 405
- Manhasset, NY
- Zip : 11030-3048
- Fax : (516) 365-8058
- Phone : (516) 365-8030
Second Address
- John Steven Walczyk
- 1165 Northern Blvd Suite 405
- Manhasset, NY
- Zip : 11030-3048
- Fax : (516) 365-8058
- Phone : (516) 365-8030
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Is John Steven Walczyk a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 191586 | NY |
National Provider Identifier
| NPI | 1043233166 |
|---|---|
| Provider Name | John Steven Walczyk |
| First Address | Manhasset, NY 11030-3048 |
| Second Address | Manhasset, NY 11030-3048 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F81219 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.