MEDICARE: ELIZABETH ORAM

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
1	363LG0600X	Gerontology Nurse Practitioner	330941	NY

General Provider Information

NPI Number	:	1497885545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ORAM

Provider Business Mailing Address
First Line	:	250 W 90TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-1100
Country	:	US
Telephone Number	:	212-496-9763
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 W 90TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-1100
Country	:	US
Telephone Number	:	212-496-9763
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	11/29/2022

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Directions to “ ELIZABETH ORAM ” Practice Location

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