MEDICARE: DANIEL OSTROWSKI NP

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	670951	NY
2	163WP0807X	Child & Adolescent Psychiatric/Mental Health Registered Nurse	670951	NY
3	363LF0000X	Family Nurse Practitioner	344327	NY

General Provider Information

NPI Number	:	1740648922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL OSTROWSKI NP

Provider Business Mailing Address
First Line	:	230 WELLBROOK AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-6925
Country	:	US
Telephone Number	:	347-249-1468
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 NEW DORP LN STE 1
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-2314
Country	:	US
Telephone Number	:	380-071-8667
Fax Number	:

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

Provider Enumeration Date	:	02/03/2016
Last Update Date	:	07/16/2019

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