Dr Elisa Marie Crystal Wang, MD | |
201 E Green St, Ithaca, NY 14850-5635 | |
(607) 274-6200 | |
Not Available |
Full Name | Dr Elisa Marie Crystal Wang |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 201 E Green St, Ithaca, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942615646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036146202 (Illinois) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 312716 (New York) | Primary |
Entity Name | Lawndale Christian Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245289214 PECOS PAC ID: 2264336346 Enrollment ID: O20031120000728 |
Mailing Address | Practice Location Address |
---|---|
Dr Elisa Marie Crystal Wang, MD 201 E Green St, Ithaca, NY 14850-5635 Ph: (607) 274-6200 | Dr Elisa Marie Crystal Wang, MD 201 E Green St, Ithaca, NY 14850-5635 Ph: (607) 274-6200 |
Dr. Kristen M Nygren, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 127 W State St, Ithaca, NY 14850 Phone: 607-273-7494 Fax: 607-273-7484 | |
Gerard P Lippert, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 201 East Green St, Ithaca, NY 14850 Phone: 607-274-6200 Fax: 607-274-6316 | |
Christopher M King, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 905 Hanshaw Road, Suite A, Ithaca, NY 14850 Phone: 607-273-6757 Fax: 607-273-2854 | |
Dr. Susan R Cowdery, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8 Brentwood Dr, Suite B, Ithaca, NY 14850 Phone: 607-273-6757 Fax: 607-273-2854 | |
Dr. Jennifer Hill Gunn, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 318 N Aurora St, Ithaca, NY 14850 Phone: 607-277-0784 | |
Dr. Celia H Elbrecht, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 126 Farm St, Ithaca, NY 14850 Phone: 607-319-4472 Fax: 607-319-4472 | |
Dr. James S Gaffney, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8 Brentwood Dr, Suite B, Ithaca, NY 14850 Phone: 607-273-6757 Fax: 607-273-2854 |