Provider Demographics
NPI:1174108013
Name:WOJCIK, ANIA (NP)
Entity type:Individual
Prefix:MS
First Name:ANIA
Middle Name:
Last Name:WOJCIK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ANIA WOJCIK
Mailing Address - Street 2:61 LEBANON RD
Mailing Address - City:HEWITT
Mailing Address - State:NJ
Mailing Address - Zip Code:07421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MEDRITE
Practice Address - Street 2:175 NY 59
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977
Practice Address - Country:US
Practice Address - Phone:201-452-8278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF346633-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily