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General NPI Number Information
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NPI Number | 1235407792
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Entity Type | Organization
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Legal Business Name | ELZBIETA DARZYNKIEWICZ MD PC
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 1974 MAPLE HILL ST
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4190
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Country | US
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Telephone | 914-962-3815
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Fax | 914-962-3821
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Provider Business Mailing Address
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Address Line | 1974 MAPLE HILL ST
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4190
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Country | US
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Telephone | 914-962-3815
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Fax | 914-962-3821
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Authorized Official
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Title or Position | PHYSICIAN-RADIOLOGIST
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Name | DR. ELIZABETH DARZYNKIEWICZ
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Credential | MD PC
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Telephone | 914-962-3815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 136560
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License Number State | NY
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