Healthcare Provider Details

I. General information

NPI: 1669192522
Provider Name (Legal Business Name): AGNIESZKA MARIA ZAPYTOWSKA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2022
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 W 60TH ST FL 6
NEW YORK NY
10023-7905
US

IV. Provider business mailing address

33 W 60TH ST FL 6
NEW YORK NY
10023-7905
US

V. Phone/Fax

Practice location:
  • Phone: 212-586-3773
  • Fax: 212-977-1057
Mailing address:
  • Phone: 212-586-3773
  • Fax: 212-977-1057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number101171-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: