Individual
ELENA C. NICHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-3104
(999) 999-9999
Mailing address
719 HARRISON ST, SYRACUSE, NY 13210-2695
(315) 464-3104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
055506
GA
2084P0800X
Psychiatry Physician
Primary
261355
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273000
—
SC
05
—
316795116A
—
GA
Enumeration date
05/16/2006
Last updated
05/27/2026
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