MEDICARE: EWELINA KOBYLARZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	059999	NY

General Provider Information

NPI Number	:	1326439449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EWELINA KOBYLARZ

Provider Business Mailing Address
First Line	:	6614 71ST ST
Second Line	:
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-2118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	963 BROADWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-8872
Country	:	US
Telephone Number	:	347-362-1712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2015
Last Update Date	:	09/02/2025

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Directions to “ EWELINA KOBYLARZ ” Practice Location

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