Provider Demographics
NPI:1932225943
Name:MITEK-GORECKI, ALDONA (MD)
Entity type:Individual
Prefix:DR
First Name:ALDONA
Middle Name:
Last Name:MITEK-GORECKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PIPER CT
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-2019
Mailing Address - Country:US
Mailing Address - Phone:516-626-2582
Mailing Address - Fax:
Practice Address - Street 1:150 SUNRISE HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-2598
Practice Address - Country:US
Practice Address - Phone:631-956-3537
Practice Address - Fax:631-956-7086
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230391-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics