Provider Demographics
NPI:1457902959
Name:SWIATKOWSKI, KRISTIE MARIE (MS ED)
Entity Type:Individual
Prefix:
First Name:KRISTIE
Middle Name:MARIE
Last Name:SWIATKOWSKI
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:KRISTIE
Other - Middle Name:MARIE
Other - Last Name:GAMMACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED
Mailing Address - Street 1:40 CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-4100
Mailing Address - Country:US
Mailing Address - Phone:716-667-2294
Mailing Address - Fax:
Practice Address - Street 1:40 CENTRE DR
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-4100
Practice Address - Country:US
Practice Address - Phone:716-667-2294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist