Provider Demographics
NPI:1699579128
Name:MICHALCZEWSKA, IWONA
Entity type:Individual
Prefix:
First Name:IWONA
Middle Name:
Last Name:MICHALCZEWSKA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 LANDON AVE
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-2020
Mailing Address - Country:US
Mailing Address - Phone:971-710-9586
Mailing Address - Fax:
Practice Address - Street 1:430 E ALLEN ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2576
Practice Address - Country:US
Practice Address - Phone:518-945-8584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health