MEDICARE: ABIGAIL SZYDZIAK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	F312561	NY

General Provider Information

NPI Number	:	1275405557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL SZYDZIAK

Provider Business Mailing Address
First Line	:	21 KEMPSTER AVE
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-8915
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 KEMPSTER AVE
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-8915
Country	:	US
Telephone Number	:	631-252-1438
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	03/17/2026

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