Elizabeth Anne Konecky, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

141517 Issued in NY

Practice address

424 W End Ave
8F
New York, NY 10024-5760

Phone

(212) 362-2609

Fax

(212) 362-2609

NPI assigned

Dec 30, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1003052713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WEST END AVENUE",
            "address_2": "8F",
            "city": "NY",
            "state": "NY",
            "postal_code": "100245782",
            "telephone_number": "212-362-2609",
            "fax_number": "212-362-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W END AVE",
            "address_2": "8F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245760",
            "telephone_number": "212-362-2609",
            "fax_number": "212-362-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONECKY",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "141517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Maria Kondrat, PA
• Fnu Konduru Sowmya
• Douglas S Kondziolka, MD
• Massane Kone
• Alan Konecky, M.D.
• Priscilla Alden Konecky, D.D.S.
• Mythili Koneru, M.D., PH.D.
• Evgenia Koneva
• Christopher Konfirst, M.D.
• Christina Kong, MD

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.