Provider Demographics
NPI:1699750943
Name:POYNOR, ELIZABETH A (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:POYNOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:157 E 81ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1844
Mailing Address - Country:US
Mailing Address - Phone:212-426-2700
Mailing Address - Fax:212-426-4657
Practice Address - Street 1:ATRIA PHYSICIAN PRACTICE
Practice Address - Street 2:36 E 57TH STREET 5TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-600-2000
Practice Address - Fax:212-540-0856
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY189356-1207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
41G531Medicare ID - Type Unspecified
G49555Medicare UPIN
WKW481Medicare PIN