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NPI Code Detail

MEDICARE: DR. ELIZABETH BARTOS M.D.

MEDICARE: DR. ELIZABETH BARTOS M.D.
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
1207Q00000XFamily Medicine Physician178275NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1178275OTHERNYNEW YORK STATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3141731786OTHERNYTAX ID

General Provider Information

NPI Number : 1942353255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH BARTOS M.D.
Provider Business Mailing Address
First Line : 29 CHURCH ST
Second Line :
City : LAKE PLACID
State : NY
Zip : 12946-1805
Country : US
Telephone Number : 518-897-2317
Fax Number : 518-897-2423
Provider Business Practice Location Address
First Line : 29 CHURCH ST
Second Line :
City : LAKE PLACID
State : NY
Zip : 12946-1805
Country : US
Telephone Number : 518-897-2317
Fax Number : 518-897-2423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 03/07/2023

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