Provider Demographics
NPI:1316535123
Name:KOWALSKI, ELIZABETH ANNE (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE
Last Name:KOWALSKI
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:109-33 71ST ROAD
Mailing Address - Street 2:SUITE 2G
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-263-1963
Mailing Address - Fax:718-268-6616
Practice Address - Street 1:109-33 71ST ROAD
Practice Address - Street 2:SUITE 2G
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-263-1963
Practice Address - Fax:718-268-6616
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01072900363LW0102X
NYF421478-01363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health