MEDICARE: DANYA CZARNOLEWSKI

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	225100000X	Physical Therapist	PT27958	MD

General Provider Information

NPI Number	:	1982219507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANYA CZARNOLEWSKI

Provider Business Mailing Address
First Line	:	2730 UNIVERSITY BLVD W STE 310
Second Line	:
City	:	WHEATON
State	:	MD
Zip	:	20902-1990
Country	:	US
Telephone Number	:	301-942-7600
Fax Number	:	301-942-3132

Provider Business Practice Location Address
First Line	:	5454 WISCONSIN AVE STE 600
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6927
Country	:	US
Telephone Number	:	240-482-3680
Fax Number	:	240-743-4900

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

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	09/10/2020

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