Individual
MS. LISA E JONES-KOLISKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
262 N TITMUS DR, MASTIC, NY 11950-1522
(631) 399-6969
Mailing address
262 N TITMUS DR, MASTIC, NY 11950-1522
(631) 399-6969
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
507861
NY
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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