Healthcare Provider Details

I. General information

NPI: 1295616852
Provider Name (Legal Business Name): ANNA KRZYZEWSKI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 WILLIAM ST FL 12
NEW YORK NY
10038-5322
US

IV. Provider business mailing address

156 WILLIAM ST FL 12
NEW YORK NY
10038-5322
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number357444
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: