Provider Demographics
NPI:1457363186
Name:CIOCZEK, ANNA (DO)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:CIOCZEK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7102 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-1606
Mailing Address - Country:US
Mailing Address - Phone:718-492-5656
Mailing Address - Fax:718-492-5566
Practice Address - Street 1:7102 13TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-1606
Practice Address - Country:US
Practice Address - Phone:718-492-5656
Practice Address - Fax:718-492-5566
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229061207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I00693Medicare UPIN
NY683C91Medicare ID - Type Unspecified