ELIZABETH J WIRKOWSKI (NPI# 1871555797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871555797 |
| Entity Type | Individual |
| Full Name | ELIZABETH J WIRKOWSKI |
| Credential | MD |
| Practice Address |
New York Spine & Brain Surgery Hsc T12 Rm 080 Stony Brook NY 11794-4235 |
| Mailing Address |
New York Spine & Brain Surgery Hsc T12 Rm 080 Stony Brook NY 11794-8122 |
| Practice Telephone | (631) 444-1116 |
| Practice Fax Number | 6314441535 |
| Mailing Telephone | 6314441116 |
| Mailing Fax Number | 6314441535 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
180512 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
180512 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEA | BW2246052 | 01 |
| NY | WORKER'S COMPENSATION | 180512-6 | 01 |
| NY | EMPIRE BC/BS | 516JQ2 | 01 |
| NY | AETNA USHC (PPO) | 5468010 | 01 |
| NY | UNITED HEALTHCARE | 1114277 | 01 |
| NY | UHC | 1114277 | 01 |
| NY | HIP | 180512 | 01 |
| NY | HEALTHFIRST | 180512-B10 | 01 |
| NY | US FAMILY HEALTHPLAN | 109334 | 01 |
| NY | CIGNA | 1473368004 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Old Country Rd, Suite 370, Mineola, NY 115014235 | 5166634525 |
| Street Address |
NEW YORK SPINE & BRAIN SURGERY HSC T12 RM 080 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 2084A2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurocritical Care |
| The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
| Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629311584 | Krista Michelle Lim-hing | Psychiatry & Neurology | 621 E Olive St Fl 1, Long Beach, NY 11561-3708 | 2013-03-29 |
| 1477759058 | Aaron Sylvan Lord | Psychiatry & Neurology | 150 55th St Fl 3, Brooklyn, NY 11220-2508 | 2007-06-21 |
| 1538258538 | Stephan Anthony Mayer | Psychiatry & Neurology | Westchester Medical Center Advanced Physician Services, 100 Woods Road, Valhalla, NY 10595 | 2006-10-11 |
| 1548675838 | Sok Woo Lee | Psychiatry & Neurology | 1530 Front St Ste 400, East Meadow, NY 11554-2265 | 2014-06-25 |
| 1790129526 | Judy Ch'ang | Psychiatry & Neurology | 525 E 68th St, New York, NY 10065-4870 | 2013-04-23 |
| 1346505211 | Tania Jean Rebeiz | Psychiatry & Neurology | 300 Community Dr, Manhasset, NY 11030-3816 | 2012-07-06 |
| 1811214372 | David Jinou Roh | Psychiatry & Neurology | 622 W 168th St, New York, NY 10032-3720 | 2010-04-23 |
| 1902059074 | Sachin Agarwal | Psychiatry & Neurology | 622 W 168th St, New York, NY 10032-3720 | 2008-11-03 |
| 1154355956 | Soojin Park | Psychiatry & Neurology | 622 W 168th St, New York, NY 10032-3720 | 2006-07-10 |
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on ELIZABETH J WIRKOWSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.