Provider Demographics
NPI:1952607756
Name:JAROMIN, ELZBIETA
Entity Type:Individual
Prefix:MRS
First Name:ELZBIETA
Middle Name:
Last Name:JAROMIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:JAROMIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:47 WHITE BIRCH CIR
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-2526
Mailing Address - Country:US
Mailing Address - Phone:631-539-8311
Mailing Address - Fax:
Practice Address - Street 1:47 WHITE BIRCH CIR
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-2526
Practice Address - Country:US
Practice Address - Phone:631-539-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY505050-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse