Provider Demographics
NPI:1942399373
Name:GAJEWSKA, EWA (MD)
Entity Type:Individual
Prefix:MRS
First Name:EWA
Middle Name:
Last Name:GAJEWSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 BAY RIDGE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-5727
Mailing Address - Country:US
Mailing Address - Phone:718-256-7777
Mailing Address - Fax:718-256-7776
Practice Address - Street 1:1923 BAY RIDGE PARKWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-5727
Practice Address - Country:US
Practice Address - Phone:718-256-7777
Practice Address - Fax:718-256-7776
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2184831207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H31549Medicare UPIN
NY188SC1Medicare PIN