Provider Demographics
NPI:1508226887
Name:SIEKA, EWELINA SYLWIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:EWELINA
Middle Name:SYLWIA
Last Name:SIEKA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:EWELINA
Other - Middle Name:SYLWIA
Other - Last Name:SIEKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:148 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5599
Mailing Address - Country:US
Mailing Address - Phone:646-369-4940
Mailing Address - Fax:
Practice Address - Street 1:148 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5599
Practice Address - Country:US
Practice Address - Phone:718-875-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0598041223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry