Healthcare Provider Details

I. General information

NPI: 1386610582
Provider Name (Legal Business Name): ELIZABETH ANN DARCY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 FOREST HILL RD
STATEN ISLAND NY
10314-6323
US

IV. Provider business mailing address

1023 FOREST HILL RD
STATEN ISLAND NY
10314-6323
US

V. Phone/Fax

Practice location:
  • Phone: 718-534-0505
  • Fax: 718-228-4087
Mailing address:
  • Phone: 718-534-0505
  • Fax: 718-228-4087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number229679
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: