Individual
DR. CHRISTINE ELIZABETH JELALIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 LAUREL AVE STE 260, CORNWALL, NY 12518-1476
(845) 237-7050
(845) 237-7060
Mailing address
21 LAUREL AVE STE 260, CORNWALL, NY 12518-1476
(845) 237-7050
(845) 237-7060
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
142402-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00890886
—
NY
Enumeration date
08/25/2005
Last updated
09/10/2013
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