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NPI Code Detail

MEDICARE: MS. ANNA MARIE PORIZKOVA CNM

MEDICARE: MS. ANNA MARIE PORIZKOVA CNM
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
1367A00000XAdvanced Practice MidwifeF000354NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992898639
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNA MARIE PORIZKOVA CNM
Provider Business Mailing Address
First Line : 69 GLEN RD
Second Line : F3
City : EASTCHESTER
State : NY
Zip : 10709-3121
Country : US
Telephone Number : 914-330-5788
Fax Number :
Provider Business Practice Location Address
First Line : 3611 21ST ST
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11106-4705
Country : US
Telephone Number : 718-482-7772
Fax Number : 718-482-4698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/18/2011

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Directions to “ MS. ANNA MARIE PORIZKOVA CNM” Practice Location

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