Individual
MRS. ANNA MARZENA LISOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4000
Mailing address
6163 56TH ST, APT. 2ND FLOOR, MASPETH, NY 11378-3529
(347) 420-9557
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306357-1
NY
363LG0600X
Gerontology Nurse Practitioner
F340886-1
NY
Other
Enumeration date
09/07/2013
Last updated
09/07/2013
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