Individual
ELIZABETH ELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1980 CROMPOND RD DEPT OF, CORTLANDT MANOR, NY 10567-4144
(914) 734-3382
Mailing address
2527 CRANBERRY HIGHWAY, WAREHAM, MA 02571-1046
(800) 841-5200
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
277446-1
NY
2085R0204X
Vascular & Interventional Radiology Physician
277446-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12702406
CAQH
—
Enumeration date
06/27/2013
Last updated
06/16/2018
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