MEDICARE: ELIZABETH DARZYNKIEWICZ M.D.

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	247100000X	Radiologic Technologist	136560	NY
2	2471B0102X	Bone Densitometry Radiologic Technologist	136560	NY
3	2471M2300X	Mammography Radiologic Technologist	136560	NY
4	2471S1302X	Sonography Radiologic Technologist	136560	NY

General Provider Information

NPI Number	:	1376527564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH DARZYNKIEWICZ M.D.

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	02/14/2012

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