Provider Demographics
NPI:1518212810
Name:WYSOCKA, WIOLETA (MS SPED)
Entity type:Individual
Prefix:MRS
First Name:WIOLETA
Middle Name:
Last Name:WYSOCKA
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 NASSAU AVE
Mailing Address - Street 2:APT 1L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-3644
Mailing Address - Country:US
Mailing Address - Phone:718-417-6757
Mailing Address - Fax:
Practice Address - Street 1:215 NASSAU AVE
Practice Address - Street 2:APT 1L
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-3644
Practice Address - Country:US
Practice Address - Phone:718-417-6757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist