Provider Demographics
NPI:1689329104
Name:CWIEKA, SYDNEY ELAINE (RN, MSN, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ELAINE
Last Name:CWIEKA
Suffix:
Gender:F
Credentials:RN, MSN, CPNP-PC
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:ELAINE
Other - Last Name:LETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:156 13TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4437
Mailing Address - Country:US
Mailing Address - Phone:706-831-2152
Mailing Address - Fax:
Practice Address - Street 1:1 HARMON PLZ FL 10
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2803
Practice Address - Country:US
Practice Address - Phone:201-865-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01128900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty