MEDICARE: HALINA WOJCIK

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	133N00000X	Nutritionist	860710	NY
2	133NN1002X	Nutrition Education Nutritionist		NY
3	133V00000X	Registered Dietitian	860710	NY

General Provider Information

NPI Number	:	1841421724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALINA WOJCIK

Provider Business Mailing Address
First Line	:	91 BAY 31ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-5203
Country	:	US
Telephone Number	:	347-229-2186
Fax Number	:

Provider Business Practice Location Address
First Line	:	277 88TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-5609
Country	:	US
Telephone Number	:	347-229-2186
Fax Number	:

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

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	04/17/2017

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