Healthcare Provider Details

I. General information

NPI: 1275510760
Provider Name (Legal Business Name): ELIZABETH MATHER CALL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH MATHER CALL MD

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 11/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 LIVINGSTON ST HUDSON RIVER HEALTHCARE, INC.
POUGHKEEPSIE NY
12601-4713
US

IV. Provider business mailing address

1037 MAIN ST HUDSON RIVER HEALTHCARE, INC.
PEEKSKILL NY
10566-2913
US

V. Phone/Fax

Practice location:
  • Phone: 845-483-6099
  • Fax: 845-431-5662
Mailing address:
  • Phone: 914-734-8800
  • Fax: 914-734-8786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0420010214
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number262214
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: