Healthcare Provider Details

I. General information

NPI: 1932547015
Provider Name (Legal Business Name): ELIZABETH ANN VENESKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH ANN MACHERAS

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 PONDFIELD RD STE 23
BRONXVILLE NY
10708-3809
US

IV. Provider business mailing address

330 E 38TH ST APT 57 D
NEW YORK NY
10016-2759
US

V. Phone/Fax

Practice location:
  • Phone: 914-337-4986
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberF306424
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberF340884
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number306424
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: