Provider Demographics
NPI:1831728567
Name:MAJEK, ANNA MARIA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:MAJEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 E MAIN ST APT 3F
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:NY
Mailing Address - Zip Code:14522-1165
Mailing Address - Country:US
Mailing Address - Phone:315-830-6669
Mailing Address - Fax:
Practice Address - Street 1:424 E MAIN ST APT 3F
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NY
Practice Address - Zip Code:14522-1165
Practice Address - Country:US
Practice Address - Phone:315-830-6669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-04
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0077432255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer