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NPI Code Detail

MEDICARE: ELISA LONG CHEFITZ M.D.

MEDICARE: ELISA LONG CHEFITZ M.D.
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
12084P0804XChild & Adolescent Psychiatry Physician211475NY
22084P0800XPsychiatry Physician211475NY

General Provider Information

NPI Number : 1700023736
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISA LONG CHEFITZ M.D.
Provider Business Mailing Address
First Line : 595 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5239
Country : US
Telephone Number : 718-742-6203
Fax Number : 718-742-6113
Provider Business Practice Location Address
First Line : 595 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5239
Country : US
Telephone Number : 718-742-6203
Fax Number : 718-742-6113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2009
Last Update Date : 01/13/2009

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