Provider Demographics
NPI:1942915871
Name:SZYMIK ANTCZAK, PATRYCJA KATARZYNA (RN)
Entity Type:Individual
Prefix:
First Name:PATRYCJA
Middle Name:KATARZYNA
Last Name:SZYMIK ANTCZAK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 E 85TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2159
Mailing Address - Country:US
Mailing Address - Phone:917-601-9262
Mailing Address - Fax:
Practice Address - Street 1:172 E 85TH ST APT 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2159
Practice Address - Country:US
Practice Address - Phone:917-601-9262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041983-01163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care