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Agnieszka Gliwa

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NPI Number Detailed Information

Provider Information:

Name: Agnieszka Gliwa
Gender: F
Provider License Number If Given: 222668

NPI Information:

NPI: 1487649919
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 3/29/2019

Provider Business Mailing Address:

Address: 134 GREENPOINT AVE
Brooklyn, NY 11222
Phone Number: 7183496160
Fax Number: 8776185851

Provider Business Practice Location Address:

Address: 134 GREENPOINT AVE
Brooklyn, NY 11222
Phone Number: 7183496160
Fax Number: 8776185851

Provider Taxonomy:

Primary: 207RE0101X
Secondary (if any):
State: NY

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