Healthcare Provider Details

I. General information

NPI: 1952246787
Provider Name (Legal Business Name): MRS. ZUZANNA KORCZYC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3564 81ST ST APT 5P
JACKSON HEIGHTS NY
11372-5054
US

IV. Provider business mailing address

3564 81ST ST APT 5P
JACKSON HEIGHTS NY
11372-5054
US

V. Phone/Fax

Practice location:
  • Phone: 917-600-4695
  • Fax:
Mailing address:
  • Phone: 917-600-4695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number00781745
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: