| Doctor Name: | DR. MARYANN ELBERTH |
| NPI Number: | 1013217223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DSW |
| License Number: | 016449 |
| Business Practice Address: | 2094 Albany Post Road B13, Rm 131 Montrose, NY - 10548 |
| Business Phone Number: | 9147374400 |
| Business Fax Number: | 9147884293 |
| Mailing Address: | 11 Maryann Lane, OTISVILLE |
| State: | NY |
| Postal Code: | 10963 |
| Phone Number: | 8453864669 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2010 |
| NPI Last Update Date: | 10/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 016449 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |