MEDICARE: ELIZABETH ANNE HESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1194066555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANNE HESS

Provider Business Mailing Address
First Line	:	15 N FRENCH AVE
Second Line	:
City	:	ELMSFORD
State	:	NY
Zip	:	10523-3205
Country	:	US
Telephone Number	:	516-902-8709
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 E 79TH ST APT 3A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-1518
Country	:	US
Telephone Number	:	516-902-8709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2013
Last Update Date	:	03/10/2022

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Directions to “ ELIZABETH ANNE HESS ” Practice Location

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