Healthcare Provider Details

I. General information

NPI: 1750466058
Provider Name (Legal Business Name): ELISABETH C ELSINGER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MAP - DEPT. OF ORTHOPEDIC SURG 3400 BAINBRIDGE AVENUE, 6TH FL
BRONX NY
10467
US

IV. Provider business mailing address

150 PROSPECT ST #9
GREENWICH CT
06830-3100
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-2060
  • Fax:
Mailing address:
  • Phone: 718-920-2060
  • Fax: 718-231-2243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number005560
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: