Doctor Name: | DR. ELIZABETH CARON |
NPI Number: | 1013013713 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 232133 |
Business Practice Address: | Northern Blvd, Nycom Iii, Room 139 New York Institute Of Technology Old Westbury, NY - 11568 |
Business Phone Number: | 5166864027 |
Business Fax Number: | 5166863918 |
Mailing Address: | Northern Boulevard, Academic Health Care Center OLD WESTBURY |
State: | NY |
Postal Code: | 11568 |
Phone Number: | 5166861300 |
Fax Number: | 5166867890 |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 232133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |