Provider Demographics
NPI:1639278120
Name:ELIZABETH A POYNOR MD PLLC
Entity Type:Organization
Organization Name:ELIZABETH A POYNOR MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:POYNOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-426-2700
Mailing Address - Street 1:157 E 81ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1844
Mailing Address - Country:US
Mailing Address - Phone:212-426-2700
Mailing Address - Fax:212-426-4657
Practice Address - Street 1:157 E 81ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1844
Practice Address - Country:US
Practice Address - Phone:212-426-2700
Practice Address - Fax:212-426-4657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189356207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G49555Medicare UPIN
NYWKW481Medicare PIN