Provider Demographics
NPI:1063655876
Name:ROMANOWICZ, ELZBIETA (PTMS)
Entity Type:Individual
Prefix:
First Name:ELZBIETA
Middle Name:
Last Name:ROMANOWICZ
Suffix:
Gender:F
Credentials:PTMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 E 13TH ST APT 5L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2823
Mailing Address - Country:US
Mailing Address - Phone:917-291-7917
Mailing Address - Fax:917-291-7917
Practice Address - Street 1:1820 E 13TH ST APT 5L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2823
Practice Address - Country:US
Practice Address - Phone:917-291-7917
Practice Address - Fax:917-291-7917
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024429-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics