Provider Demographics
NPI:1104650100
Name:SZCZYGIEL, JUSTYNA (MS,CO)
Entity type:Individual
Prefix:
First Name:JUSTYNA
Middle Name:
Last Name:SZCZYGIEL
Suffix:
Gender:F
Credentials:MS,CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 STEEPLECHASE DR
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-5700
Mailing Address - Country:US
Mailing Address - Phone:860-502-8604
Mailing Address - Fax:
Practice Address - Street 1:10 STEEPLECHASE DR
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-5700
Practice Address - Country:US
Practice Address - Phone:860-502-8604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1900XEye and Vision Services ProvidersTechnician/TechnologistOrthoptist