Individual
LISA KWIECINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
27005 76TH AVE DEPT OF, NEW HYDE PARK, NY 11040-1402
(718) 470-7390
Mailing address
68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
578233
NY
367500000X
Certified Registered Nurse Anesthetist
578233
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11016610
FL
Other
Enumeration date
02/25/2019
Last updated
02/23/2026
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