Provider Demographics
NPI:1396185237
Name:KARWOWSKA, ELZBIETA (DPT)
Entity Type:Individual
Prefix:
First Name:ELZBIETA
Middle Name:
Last Name:KARWOWSKA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 75 WOODHAVEN BLVR
Mailing Address - Street 2:APT 6L
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1519
Mailing Address - Country:US
Mailing Address - Phone:347-462-4876
Mailing Address - Fax:347-435-2111
Practice Address - Street 1:83 75 WOODHAVEN BLVR
Practice Address - Street 2:APT 6L
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1519
Practice Address - Country:US
Practice Address - Phone:347-462-4876
Practice Address - Fax:347-435-2111
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0362261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0362261OtherLICENSE