Healthcare Provider Details

I. General information

NPI: 1730153404
Provider Name (Legal Business Name): DARLA ANN BJORK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 10/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 FRANKLIN ST
NEW YORK NY
10013-3408
US

IV. Provider business mailing address

91 FRANKLIN ST
NEW YORK NY
10013-3408
US

V. Phone/Fax

Practice location:
  • Phone: 212-219-3680
  • Fax: 212-925-4777
Mailing address:
  • Phone: 212-219-3680
  • Fax: 212-925-4777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0990251
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: