Porizkova, Anna Marie
Porizkova, Anna Marie is an sole proprietor health care provider with primary practice located at 3611 21St St , Long Island City NY 11106-4705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Porizkova, Anna Marie can be contacted via phone (718) 482-7772.Contact Information
Primary practice address
3611 21St St
Long Island City NY 11106-4705
Phone: (718) 482-7772
Fax: (718) 482-4698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | F000354 | New York |
Profile Details
| NPI number | 1992898639 |
|---|---|
| LBN Legal business name | Porizkova, Anna Marie |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 18th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992898639 | NPPES |
| New York | MEDICAID | 00246075 | |
| New York | MEDICAID | 00695941 |
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