Eleazar, Jennifer Anne

Eleazar, Jennifer Anne is an individual health care provider with primary practice located at 90 S Bedford Rd Care Mount Medical Pc, Mount Kisco NY 10549-3412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Eleazar, Jennifer Anne can be contacted via phone (914) 241-1050.

Contact Information

Primary practice address
90 S Bedford Rd Care Mount Medical Pc Mount Kisco NY 10549-3412
Phone: (914) 241-1050
Fax: (914) 242-1516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 223449 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA07534800 New Jersey

Profile Details

NPI number 1922119361
LBN Legal business name Eleazar, Jennifer Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 11th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922119361 NPPES
New York MEDICAID 02863014

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