Provider Demographics
NPI:1275881302
Name:JANKOWSKA, DANUTA ALICJA (MD)
Entity Type:Individual
Prefix:DR
First Name:DANUTA
Middle Name:ALICJA
Last Name:JANKOWSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1440 YORK AVE OFC P5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-2577
Mailing Address - Country:US
Mailing Address - Phone:212-988-5200
Mailing Address - Fax:212-988-5201
Practice Address - Street 1:1440 YORK AVE OFC P5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-2577
Practice Address - Country:US
Practice Address - Phone:212-988-5200
Practice Address - Fax:212-988-5201
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD456157207R00000X
NY281468207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine