Individual
DR. ELYSE S PEARSON
Active
Individual
DR. ELYSE S PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
170622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084578
GHI HMO
—
01
—
000913857002
BLUE SHIELD NENY
—
05
—
01078248
—
NY
01
—
040426006822
FIDELIS
—
01
—
10051759
CDPHP
—
01
—
110160500
US DEPT OF LABOR
—
01
—
170622
TRICARE NORTH REGION
—
01
—
17062255W
NO FAULT
—
01
—
904894
MVP
—
01
—
9711926
GHI
—
01
—
CC6115
FIDELIS MEDICARE
—
01
—
E16855
AMERICAN PROGRESSIVE TODA
—
01
—
EP07K23910
EMPIRE BLUE CROSS
—
01
—
EP07K23920
EMPIRE BLUE CROSS
—
Enumeration date
08/17/2005
Last updated
03/21/2019
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