Most Relevant Information
Provider Data
| NPI Number: | 1003052713 |
| Provider Name: | ELIZABETH ANNE KONECKY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 141517 |
Most Important Dates
| Enumeration Date: | 12/30/2008 |
| Last Updated: | 12/30/2008 |
Provider Practice Location
424 W END AVE
8F
NEW YORK
NY
100245760
Practice Location Phone/Fax
| Phone: | 2123622609 |
| Fax: | 2123622609 |
Provider Mailing Location
424 WEST END AVENUE
8F
NY
NY
100245782
Provider Mailing Phone/Fax
| Phone: | 2123622609 |
| Fax: | 2123622609 |