Individual
ELISE H. SHRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 E SUNRISE HWY, SUITE 201, LINDENHURST, NY 11757-2598
(631) 225-7200
(631) 225-4565
Mailing address
52 MAIN ST, BEDFORD HILLS, NY 10507-1814
(914) 666-2220
(914) 666-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
173289
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01148856
—
NY
Enumeration date
01/24/2006
Last updated
03/24/2016
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