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NPI Code Detail

MEDICARE: MRS. DARIA NIEDZWIECKI DNP

MEDICARE: MRS. DARIA NIEDZWIECKI DNP
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
1363LF0000XFamily Nurse PractitionerF343756-01NY
2363LF0000XFamily Nurse Practitioner26NJ00868600NJ

General Provider Information

NPI Number : 1619527306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DARIA NIEDZWIECKI DNP
Provider Business Mailing Address
First Line : 307 EGG HARBOR RD
Second Line :
City : SEWELL
State : NJ
Zip : 08080-1850
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 260 ARDEN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1229
Country : US
Telephone Number : 718-966-5509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2019
Last Update Date : 12/29/2025

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