| Doctor Name: | MS. LISA E JONES-KOLISKI |
| NPI Number: | 1396188223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 507861 |
| Business Practice Address: | 262 N Titmus Dr Mastic, NY - 119501522 |
| Business Phone Number: | 6313996969 |
| Business Fax Number: | |
| Mailing Address: | 262 N Titmus Dr, MASTIC |
| State: | NY |
| Postal Code: | 119501522 |
| Phone Number: | 6313996969 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2013 |
| NPI Last Update Date: | 04/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | 507861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |