Provider Demographics
NPI:1831284678
Name:KARCZEWSKI, DONNA MARIE (CRNA, ACNP)
Entity Type:Individual
Prefix:MISS
First Name:DONNA
Middle Name:MARIE
Last Name:KARCZEWSKI
Suffix:
Gender:F
Credentials:CRNA, ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2930
Mailing Address - Country:US
Mailing Address - Phone:716-634-8500
Mailing Address - Fax:
Practice Address - Street 1:170 MAPLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2930
Practice Address - Country:US
Practice Address - Phone:716-632-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237466367500000X
NYF430865363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB0728Medicare ID - Type UnspecifiedEYE HEALTH ASSOCIATES
NYS55082Medicare UPIN
NYRA0274Medicare Oscar/Certification
NYBB0728Medicare ID - Type UnspecifiedEYE HEALTH ASSOCIATES