Provider Demographics
NPI:1073774980
Name:ALEXANDER, ELIZABETH LAUREN (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LAUREN
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1300 YORK AVE
Mailing Address - Street 2:DEPARTMENT OF INFECTIOUS DISEASE, ROOM A-421
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4805
Mailing Address - Country:US
Mailing Address - Phone:212-746-6320
Mailing Address - Fax:212-746-8675
Practice Address - Street 1:1300 YORK AVE
Practice Address - Street 2:DEPARTMENT OF INFECTIOUS DISEASE, ROOM A-421
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4805
Practice Address - Country:US
Practice Address - Phone:212-746-6320
Practice Address - Fax:212-746-8675
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY239476207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY239476OtherNYS LICENSE NUMBER