Provider Demographics
NPI:1750636825
Name:CYPARSKA, ANETA
Entity Type:Individual
Prefix:
First Name:ANETA
Middle Name:
Last Name:CYPARSKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 TONY CT
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3544
Mailing Address - Country:US
Mailing Address - Phone:917-573-9522
Mailing Address - Fax:
Practice Address - Street 1:19 TONY CT
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3544
Practice Address - Country:US
Practice Address - Phone:917-573-9522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator