Provider Demographics
NPI:1205522653
Name:CHOPIVSKY, MARIA ELIZABETH (CNM)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ELIZABETH
Last Name:CHOPIVSKY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9 TOMMYS LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10590-2301
Mailing Address - Country:US
Mailing Address - Phone:703-999-4694
Mailing Address - Fax:
Practice Address - Street 1:105 S BEDFORD RD STE 305
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3450
Practice Address - Country:US
Practice Address - Phone:703-999-4694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236303367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife