Ms. Elizabeth Daire Fetherolf
Mental Health
3 Cliffview Ln
Gardiner
, New York 12525-5221
Ms. Elizabeth Daire Fetherolf
Mental Health
3 Cliffview Ln
Gardiner
, New York 12525-5221
(845) 255-5394
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Ms. Elizabeth Daire Fetherolf
- 3 Cliffview Ln
- Gardiner, NY
- Zip : 12525-5221
- Phone : (845) 255-5394
Second Address
- Ms. Elizabeth Daire Fetherolf
- 3 Cliffview Ln
- Gardiner, NY
- Zip : 12525-5221
- Phone : (845) 255-5394
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Is Ms. Elizabeth Daire Fetherolf a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | 006105-1 | NY |
National Provider Identifier
| NPI | 1013042175 |
|---|---|
| Provider Name | Ms. Elizabeth Daire Fetherolf |
| First Address | Gardiner, NY 12525-5221 |
| Second Address | Gardiner, NY 12525-5221 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 01/04/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.