Healthcare Provider Details

I. General information

NPI: 1174108013
Provider Name (Legal Business Name): ANIA WOJCIK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 03/12/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDRITE 175 NY 59
SPRING VALLEY NY
10977
US

IV. Provider business mailing address

ANIA WOJCIK 61 LEBANON RD
HEWITT NJ
07421
US

V. Phone/Fax

Practice location:
  • Phone: 201-452-8278
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF346633-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: