Provider Demographics
NPI:1033733902
Name:SZYIKOWSKI, MEREDITH (CRNA)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:SZYIKOWSKI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13048 KENDRICK RD
Mailing Address - Street 2:
Mailing Address - City:WATERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14571-9727
Mailing Address - Country:US
Mailing Address - Phone:585-590-9147
Mailing Address - Fax:
Practice Address - Street 1:1 ATWELL RD
Practice Address - Street 2:
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-1301
Practice Address - Country:US
Practice Address - Phone:607-547-4625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY644748-01367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered