Individual
ELIZABETH MACKENZIE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4898
(212) 606-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022477-1
NY
363A00000X
Physician Assistant
MA057294
PA
363AM0700X
Medical Physician Assistant
0110005060
VA
Other
Enumeration date
01/30/2015
Last updated
03/03/2026
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