MEDICARE: MRS. ELIZABETH D STRONG FNP

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	363LF0000X	Family Nurse Practitioner	336470	NY
2	363LF0000X	Family Nurse Practitioner	6990	CT

General Provider Information

NPI Number	:	1992147441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH D STRONG FNP

Provider Business Mailing Address
First Line	:	761 MAIN AVE
Second Line	:
City	:	NORWALK
State	:	CT
Zip	:	06851-1080
Country	:	US
Telephone Number	:	203-374-6103
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 N BROADWAY STE G
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10601-2222
Country	:	US
Telephone Number	:	914-275-5689
Fax Number	:

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

Provider Enumeration Date	:	07/25/2013
Last Update Date	:	01/29/2024

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