Provider Demographics
NPI:1013396696
Name:SZCZYGIEL, SEAN (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:
Last Name:SZCZYGIEL
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 UNION AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-1739
Mailing Address - Country:US
Mailing Address - Phone:718-387-7420
Mailing Address - Fax:718-387-7421
Practice Address - Street 1:202 UNION AVE
Practice Address - Street 2:SUITE K
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-1739
Practice Address - Country:US
Practice Address - Phone:718-387-7420
Practice Address - Fax:718-387-7421
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038080-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist