| Doctor Name: | DR. ADAM T. GAZDZINSKI |
| NPI Number: | 1124236336 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT, ECS, OCS |
| License Number: | 021837 |
| Business Practice Address: | 927 Fulton St Farmingdale, NY - 117354206 |
| Business Phone Number: | 9175757389 |
| Business Fax Number: | |
| Mailing Address: | 166 Grand Ave, Suite B6 ENGLEWOOD |
| State: | NJ |
| Postal Code: | 076313544 |
| Phone Number: | 9175757389 |
| Fax Number: | 2017315533 |
| NPI Enumeration Date: | 05/19/2007 |
| NPI Last Update Date: | 07/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251E1300X |
| License Number: | 021837 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Electrophysiology, Clinical |
| Taxonomy Definition: | |