Provider Demographics
NPI:1215048822
Name:MOKRZYCKI, MICHELE H (MD, MS)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:H
Last Name:MOKRZYCKI
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Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:510 E 80TH ST
Mailing Address - Street 2:APT 11D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0719
Mailing Address - Country:US
Mailing Address - Phone:212-423-0239
Mailing Address - Fax:718-652-8384
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:MONTEFIORE MEDICAL CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-920-5442
Practice Address - Fax:718-652-8384
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-12-14
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Provider Licenses
StateLicense IDTaxonomies
NY189085207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01399742Medicaid
NYE81179Medicare UPIN