MEDICARE: MONIKA DWORAKOWSKI OTR/L

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	225XH1200X	Hand Occupational Therapist	023406	NY

General Provider Information

NPI Number	:	1982255253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIKA DWORAKOWSKI OTR/L

Provider Business Mailing Address
First Line	:	3980 ORLOFF AVE APT 8F
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-2884
Country	:	US
Telephone Number	:	347-634-9015
Fax Number	:

Provider Business Practice Location Address
First Line	:	6132 RIVERDALE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1009
Country	:	US
Telephone Number	:	718-884-1200
Fax Number	:

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

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	09/26/2019

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