Provider Demographics
NPI:1194954149
Name:EKM MEDICAL PC
Entity type:Organization
Organization Name:EKM MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDYTA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRZAK-MULARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-310-3445
Mailing Address - Street 1:45 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2005
Mailing Address - Country:US
Mailing Address - Phone:914-310-3445
Mailing Address - Fax:
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:914-358-4256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty