Dzikowski, Rena Y

Dzikowski, Rena Y is an individual health care provider with primary practice located at 728 N Main St Refuah Health Center, Spring Valley NY 10977-1960. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dzikowski, Rena Y can be contacted via phone (845) 354-9300.

Contact Information

Primary practice address
728 N Main St Refuah Health Center Spring Valley NY 10977-1960
Phone: (845) 354-9300
Fax: (845) 354-4298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F334586 New York

Profile Details

NPI number 1760422000
LBN Legal business name Dzikowski, Rena Y
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 11th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760422000 NPPES
New York MEDICAID 01421705

Popular Providers