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Individual

MS. ANNA MARIE PORIZKOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
3611 21ST ST, LONG ISLAND CITY, NY 11106-4705
(718) 482-7772
(718) 482-4698
Mailing address
69 GLEN RD, F3, EASTCHESTER, NY 10709-3121
(914) 330-5788

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000354
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246075
NY
05
00695941
NY
Enumeration date
10/02/2006
Last updated
07/18/2011
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