Individual
DR. ANNA PORAY STANICZENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. M.SC.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2463
Mailing address
733 N BROADWAY STE 147, THE JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE, BALTIMORE, MD 21205-1832
(410) 955-3080
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
321504
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2017
Last updated
06/28/2024
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