Healthcare Provider Details

I. General information

NPI: 1841539434
Provider Name (Legal Business Name): MAGDALENA SZCZEPANSKA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2013
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 DRIGGS AVE
BROOKLYN NY
11222-4056
US

IV. Provider business mailing address

22 US ROUTE 6 STE R1
PORT JERVIS NY
12771-3168
US

V. Phone/Fax

Practice location:
  • Phone: 845-672-6033
  • Fax: 845-472-6042
Mailing address:
  • Phone: 845-672-6033
  • Fax: 845-472-6042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number306759
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00335600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: