Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 243684 | NY |
NPI | 1316269707 |
---|---|
Provider Name | Dr. Elissa Yozawitz |
First Address | Bronx, NY 10461-1116 |
Second Address | Bronx, NY 10461-1116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2010 |
Last Update Date | 25/02/2010 |