MEDICARE: MS. MONIKA SIERGIEJ RN

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	163W00000X	Registered Nurse	526105	NY

General Provider Information

NPI Number	:	1629931845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONIKA SIERGIEJ RN

Provider Business Mailing Address
First Line	:	88 E 58TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-3714
Country	:	US
Telephone Number	:	718-374-5484
Fax Number	:	347-763-5540

Provider Business Practice Location Address
First Line	:	5411 2ND AVE FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2664
Country	:	US
Telephone Number	:	718-374-5484
Fax Number	:	347-763-5540

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

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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