Provider Demographics
NPI:1407647357
Name:SZOSTEK, ANNA MARIA (DNP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:SZOSTEK
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1252 72ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-1505
Mailing Address - Country:US
Mailing Address - Phone:347-615-6184
Mailing Address - Fax:
Practice Address - Street 1:410 E 74TH ST APT 5D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3918
Practice Address - Country:US
Practice Address - Phone:347-615-6184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY356023207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine