MEDICARE: MRS. VIJAYTA CHOUDHARY SZPITALAK ED.M, MA

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	101YM0800X	Mental Health Counselor	P73164	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932425154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VIJAYTA CHOUDHARY SZPITALAK ED.M, MA

Provider Business Mailing Address
First Line	:	2 RIVER TER
Second Line	:	7A
City	:	NEW YORK
State	:	NY
Zip	:	10282-1241
Country	:	US
Telephone Number	:	646-241-6569
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 RIVER TER
Second Line	:	7A
City	:	NEW YORK
State	:	NY
Zip	:	10282-1241
Country	:	US
Telephone Number	:	646-535-4325
Fax Number	:

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

Provider Enumeration Date	:	04/13/2010
Last Update Date	:	08/09/2010

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