Provider Demographics
NPI:1497036784
Name:JAMROZEK-BURRA, MONIKA (MA, MS)
Entity Type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:
Last Name:JAMROZEK-BURRA
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:JAMROZEK
Other - Middle Name:
Other - Last Name:MONIKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MS
Mailing Address - Street 1:57 ST MARK'S PLACE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-982-3470
Mailing Address - Fax:
Practice Address - Street 1:57 SAINT MARKS PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-7902
Practice Address - Country:US
Practice Address - Phone:212-982-3470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP81454101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health