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General NPI Number Information
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NPI Number | 1316269707
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Entity Type | Individual
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Provider Name | ELISSA YOZAWITZ MD
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Gender | Female
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 1410 PELHAM PKWY S RM 316 ROSE F. KENNEDY CENTER
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City | BRONX
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State | NY
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Zip | 10461-1116
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Country | US
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Telephone | 718-430-2464
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Fax | 917-954-8086
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Provider Business Mailing Address
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Address Line | 1410 PELHAM PKWY S RM 316 ROSE F. KENNEDY CENTER
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City | BRONX
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State | NY
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Zip | 10461-1116
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Country | US
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Telephone | 718-430-2464
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Fax | 917-954-8086
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 243684
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 243684
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 243684
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License Number State | NY
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