Wang, Elisa Marie Crystal

Wang, Elisa Marie Crystal is an individual health care provider with primary practice located at 201 E Green St , Ithaca NY 14850-5635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Wang, Elisa Marie Crystal can be contacted via phone (607) 274-6200.

Contact Information

Primary practice address
201 E Green St Ithaca NY 14850-5635
Phone: (607) 274-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036146202 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 312716 New York

Profile Details

NPI number 1942615646
LBN Legal business name Wang, Elisa Marie Crystal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2014
Last updated May 13th, 2024 - 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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