Provider Demographics
NPI:1043610645
Name:CALL, ELIZABETH (LICENSED ACUPUNCTURI)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CALL
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTURI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:848 COUNTY ROUTE 60
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:NY
Mailing Address - Zip Code:12834-5008
Mailing Address - Country:US
Mailing Address - Phone:518-692-1167
Mailing Address - Fax:
Practice Address - Street 1:848 COUNTY ROUTE 60
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:NY
Practice Address - Zip Code:12834-5008
Practice Address - Country:US
Practice Address - Phone:518-692-1167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000246171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist