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NPI Code Detail

MEDICARE: MS. MARZENA SYLVIA WESOLOWSKI

MEDICARE:  MS. MARZENA SYLVIA WESOLOWSKI
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
1101YM0800XMental Health Counselor008161NY

General Provider Information

NPI Number : 1841311883
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARZENA SYLVIA WESOLOWSKI
Provider Business Mailing Address
First Line : 6041 PALMETTO ST
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-3217
Country : US
Telephone Number : 917-609-3800
Fax Number :
Provider Business Practice Location Address
First Line : 57 SAINT MARKS PL
Second Line :
City : NEW YORK
State : NY
Zip : 10003-7902
Country : US
Telephone Number : 212-982-3470
Fax Number : 212-477-0521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 04/17/2026

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Directions to “ MS. MARZENA SYLVIA WESOLOWSKI ” Practice Location

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