Provider Demographics
NPI:1235407792
Name:ELZBIETA DARZYNKIEWICZ MD PC
Entity Type:Organization
Organization Name:ELZBIETA DARZYNKIEWICZ MD PC
Other - Org Name:SAME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN-RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DARZYNKIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:914-962-3815
Mailing Address - Street 1:1974 MAPLE HILL ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4190
Mailing Address - Country:US
Mailing Address - Phone:914-962-3815
Mailing Address - Fax:914-962-3821
Practice Address - Street 1:1974 MAPLE HILL ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4190
Practice Address - Country:US
Practice Address - Phone:914-962-3815
Practice Address - Fax:914-962-3821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136560302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100060305Medicare PIN