Doctor Name: | MS. NICOLE NOELLE KOWALEWSKI |
NPI Number: | 1003048638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, NP |
License Number: | F430480-1 |
Business Practice Address: | 1275 York Ave New York, NY - 100656007 |
Business Phone Number: | 2126827326 |
Business Fax Number: | |
Mailing Address: | 137 E 38th St Apt 4e, NEW YORK |
State: | NY |
Postal Code: | 100162620 |
Phone Number: | 5164452006 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2009 |
NPI Last Update Date: | 08/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | F430480-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |