Provider Demographics
NPI:1952502643
Name:URBANIAK, ELIZABETH IDA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:IDA
Last Name:URBANIAK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 OLD FARM CIR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-1644
Mailing Address - Country:US
Mailing Address - Phone:716-688-0871
Mailing Address - Fax:
Practice Address - Street 1:48 OLD FARM CIR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-1644
Practice Address - Country:US
Practice Address - Phone:716-688-0871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242842163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine