Healthcare Provider Details

I. General information

NPI: 1588489561
Provider Name (Legal Business Name): MARIA-ELISABETH METZKE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date: 10/10/2025
Reactivation Date: 11/24/2025

III. Provider practice location address

MONTEFIORE MEDICAL CENTER 111 E 210 ST
BRONX NY
10467
US

IV. Provider business mailing address

MONTEFIORE MEDICAL CENTER, ANESTHESIOLOGY DEPT 111 E210 ST, ATTN: SAMANTHA RAWANA
BRONX NY
10467
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-4316
  • Fax:
Mailing address:
  • Phone: 718-920-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number337155
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: