Individual
DR. ELISA MARIE CRYSTAL WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6200
Mailing address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036146202
IL
2084P0800X
Psychiatry Physician
Primary
312716
NY
Other
Enumeration date
06/23/2014
Last updated
05/13/2024
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