Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 024429-1 | NY |
NPI | 1063655876 |
---|---|
Provider Name | Elzbieta Romanowicz |
First Address | Brooklyn, NY 11229-2823 |
Second Address | Brooklyn, NY 11229-2823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2009 |
Last Update Date | 08/04/2009 |