1588489561 NPI number — MRS. MARIA-ELISABETH METZKE M.D.

Table of content: MRS. MARIA-ELISABETH METZKE M.D. (NPI 1588489561)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588489561 NPI number — MRS. MARIA-ELISABETH METZKE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
METZKE
Provider First Name:
MARIA-ELISABETH
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588489561
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
10/10/2025
NPI Reactivation Date:
11/24/2025

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MONTEFIORE MEDICAL CENTER, ANESTHESIOLOGY DEPT
Provider Second Line Business Mailing Address:
111 E210 ST, ATTN: SAMANTHA RAWANA
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10467
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-920-6423
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MONTEFIORE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
111 E 210 ST
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-4316
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/15/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  337155 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 390200000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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