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Contact Information

PIOTR PRYSTUPA, PA
95 GRASSLANDS RD
WMC -CTS MACY PAVILLION
VALHALLA, NY10595
 Phone: 914-493-7676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PIOTR PRYSTUPA · (Male)

NPI Number 1659565844
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/30/2007
Last updated 08/30/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 007010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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