Jerome, Elizabeth Heidi

Jerome, Elizabeth Heidi is an individual health care provider with primary practice located at 622 W 168Th St Nyph Dept. Of Anesthesiology, New York NY 10032-3720. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Jerome, Elizabeth Heidi can be contacted via phone (212) 305-9876.

Contact Information

Primary practice address
622 W 168Th St Nyph Dept. Of Anesthesiology New York NY 10032-3720
Phone: (212) 305-9876
Fax: (646) 317-3165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 146351 New York
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 146351 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 146351 New York

Profile Details

NPI number 1871570226
LBN Legal business name Jerome, Elizabeth Heidi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Feb 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871570226 NPPES
New York MEDICAID 01671205

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