Provider Demographics
NPI:1811252620
Name:KLIMASIEWFSKI, ELIZABETH MARINA (NP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:MARINA
Last Name:KLIMASIEWFSKI
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:30 BROAD ST
Mailing Address - Street 2:45TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-2304
Mailing Address - Country:US
Mailing Address - Phone:212-530-0630
Mailing Address - Fax:212-867-4353
Practice Address - Street 1:30 BROAD ST
Practice Address - Street 2:45TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-2304
Practice Address - Country:US
Practice Address - Phone:212-530-0630
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2012-07-08
Last Update Date:2025-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY30 305956363LA2200X
NY305956363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health