Individual
ELISABETH JEREMIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23 SOUTH HOWELL AVENUE, STONY BROOK EXTENDED CARE OB/GYN, CENEREACH, NY 11720
(516) 542-6880
(516) 542-5556
Mailing address
45 RESEARCH WAY STE 105, EAST SETAUKET, NY 11733-6401
(631) 672-8279
(631) 675-2624
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
226258
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
05
—
2110580
—
MA
01
—
494320
TUFTS HEALTH PLAN
—
01
—
792643
MVP HEALTH CARE
—
01
—
90919
FALLON COMMUNITY HEALTH
—
01
—
AA45543
HARVARD PILGRIM
—
01
—
J29518
BLUE CARE ELECT
—
Enumeration date
02/14/2006
Last updated
10/10/2014
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