Individual
DR. ELIZABETH HEIDI JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NYPH DEPT. OF ANESTHESIOLOGY, NEW YORK, NY 10032-3720
(212) 305-9876
(646) 317-3165
Mailing address
622 W 168TH ST, NYPH DEPT. OF ANESTHESIOLOGY, NEW YORK, NY 10032-3720
(212) 305-9876
(646) 317-3165
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
146351
NY
207LP3000X
Pediatric Anesthesiology Physician
146351
NY
2080P0203X
Pediatric Critical Care Medicine Physician
146351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01671205
—
NY
Enumeration date
12/28/2005
Last updated
02/10/2023
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