Provider Demographics
NPI:1639314495
Name:SZEGDA, MALGORZATA ZOFIA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:MALGORZATA
Middle Name:ZOFIA
Last Name:SZEGDA
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3940 LITTLE NECK PKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11363-1430
Mailing Address - Country:US
Mailing Address - Phone:718-229-0950
Mailing Address - Fax:
Practice Address - Street 1:4500 PARSONS BLVD.
Practice Address - Street 2:FLUSHING HOSPITAL MEDICAL CENTER
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-670-5515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012553-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist