Individual
DR. ELYSE R ERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 LONG RIDGE RD, STAMFORD, CT 06902-1627
(475) 619-6035
(203) 316-0288
Mailing address
260 LONG RIDGE RD, STAMFORD, CT 06902-1627
(475) 619-6035
(203) 316-0288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
191306
NY
207R00000X
Internal Medicine Physician
Primary
55333
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55333
CT LICENSE
CT
Enumeration date
11/10/2006
Last updated
11/10/2016
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