MEDICARE: MS. PATRICIA ANN WOLOSZYN N.P.P.

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F400142-1	NY

General Provider Information

NPI Number	:	1811969702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA ANN WOLOSZYN N.P.P.

Provider Business Mailing Address
First Line	:	24 THIXTON AVE
Second Line	:
City	:	EAST ROCKAWAY
State	:	NY
Zip	:	11518-2321
Country	:	US
Telephone Number	:	516-596-1078
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 MERRICK AVE
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-3434
Country	:	US
Telephone Number	:	516-359-9753
Fax Number	:

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

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	07/08/2007

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