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NPI Code Detail

MEDICARE: ELZBIETA J WIRKOWSKI MD

MEDICARE: ELZBIETA J WIRKOWSKI MD
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
12084A2900XNeurocritical Care Physician180512NY
22084V0102XVascular Neurology Physician180512NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1109334OTHERNYUS FAMILY HEALTHPLAN
21114277OTHERNYUNITED HEALTHCARE
3180512-6OTHERNYWORKER'S COMPENSATION
41114277OTHERNYUHC
55468010OTHERNYAETNA USHC (PPO)
6180512OTHERNYHIP
7516JQ2OTHERNYEMPIRE BC/BS
81473368004OTHERNYCIGNA
9180512-B10OTHERNYHEALTHFIRST

General Provider Information

NPI Number : 1871555797
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELZBIETA J WIRKOWSKI MD
Provider Business Mailing Address
First Line : NEW YORK SPINE & BRAIN SURGERY HSC T12 RM 080
Second Line :
City : STONY BROOK
State : NY
Zip : 11794-8122
Country : US
Telephone Number : 631-444-1116
Fax Number : 631-444-1535
Provider Business Practice Location Address
First Line : 140 JFK DR
Second Line :
City : ATLANTIS
State : FL
Zip : 33462-6608
Country : US
Telephone Number : 561-968-6767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 01/05/2026

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