Provider Demographics
NPI:1164493193
Name:PRZECHODZKA, DANUTA Z (MD)
Entity Type:Individual
Prefix:DR
First Name:DANUTA
Middle Name:Z
Last Name:PRZECHODZKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 PHEASANT WOODS RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2078
Mailing Address - Country:US
Mailing Address - Phone:914-591-3271
Mailing Address - Fax:914-470-2766
Practice Address - Street 1:81 S BROADWAY
Practice Address - Street 2:STE REHAB
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4004
Practice Address - Country:US
Practice Address - Phone:914-378-7160
Practice Address - Fax:914-378-7297
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-28
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163061208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00930630Medicaid
NYA63099Medicare UPIN
NY0213J1Medicare ID - Type UnspecifiedMEDICARE