MEDICARE: ELZBIETA DARZYNKIEWICZ MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302F00000X	Exclusive Provider Organization	136560	NY

General Provider Information

NPI Number	:	1235407792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELZBIETA DARZYNKIEWICZ MD PC

Provider Business Mailing Address
First Line	:	1974 MAPLE HILL ST
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4190
Country	:	US
Telephone Number	:	914-962-3815
Fax Number	:	914-962-3821

Provider Business Practice Location Address
First Line	:	1974 MAPLE HILL ST
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4190
Country	:	US
Telephone Number	:	914-962-3815
Fax Number	:	914-962-3821

Authorized Official
Title or Position	:	PHYSICIAN-RADIOLOGIST
Name	:	DR. ELIZABETH DARZYNKIEWICZ
Credential	:	MD PC
Telephone Number	:	914-962-3815

Provider Enumeration Date	:	12/12/2011
Last Update Date	:	02/13/2012

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