Doctor Name: | DR. CHRISTINE ELIZABETH JELALIAN |
NPI Number: | 1508859406 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 142402-1 |
Business Practice Address: | 21 Laurel Ave Ste 260 Cornwall, NY - 125181476 |
Business Phone Number: | 8452377050 |
Business Fax Number: | 8452377060 |
Mailing Address: | 21 Laurel Ave Ste 260, CORNWALL |
State: | NY |
Postal Code: | 125181476 |
Phone Number: | 8452377050 |
Fax Number: | 8452377060 |
NPI Enumeration Date: | 08/25/2005 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 142402-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |