Individual
DR. ELISE MARIE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6734 ROUTE 9, RHINEBECK, NY 12572-3724
(845) 231-5600
(845) 202-6713
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
265815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03474971
—
NY
Enumeration date
04/30/2012
Last updated
11/17/2016
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