Individual
MRS. LISA ELSNER MOLDOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 CAROL LN, WESTBURY, NY 11590-5750
(516) 334-5059
Mailing address
7 CAROL LN, WESTBURY, NY 11590-5750
(516) 334-5059
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
434368-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02357380
—
NY
Enumeration date
07/13/2007
Last updated
07/13/2007
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