Individual
JENNIFER ANNE ELEAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516
Mailing address
110 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
223449
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA07534800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02863014
—
NY
Enumeration date
08/31/2006
Last updated
11/11/2016
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