Individual
DR. ELIZABETH ANN RONESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
144 GROVE AVE, CEDARHURST, NY 11516-2315
(718) 820-6417
Mailing address
1452 GIPSON ST, FAR ROCKAWAY, NY 11691-2305
(718) 471-8329
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011614-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01592841
—
NY
01
—
VM3101
EMPIRE HEALTHCHOICE
NY
Enumeration date
01/15/2007
Last updated
06/20/2009
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