Individual
DR. ELIZABETH BRIGHTSTAR ENSCHEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 W 23RD ST, 1ST FLOOR, NEW YORK, NY 10011-2301
(212) 352-2600
Mailing address
PO BOX 95000-2454, PHILADELPHIA, PA 19195-2454
(212) 352-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
255134
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2008
Last updated
09/06/2012
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