Healthcare Provider Details

I. General information

NPI: 1649083320
Provider Name (Legal Business Name): MS. ANETA SZPYRKA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 HUDSON MANOR TER APT 6AW
BRONX NY
10463-1172
US

IV. Provider business mailing address

3750 HUDSON MANOR TER APT 6AW
BRONX NY
10463-1172
US

V. Phone/Fax

Practice location:
  • Phone: 929-268-4395
  • Fax:
Mailing address:
  • Phone: 929-268-4395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3919492
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number011854
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: