Provider Demographics
NPI:1215178603
Name:ELIZEE, RICHARD GEORGES (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:GEORGES
Last Name:ELIZEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 8TH AVE APT 20V
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5716
Mailing Address - Country:US
Mailing Address - Phone:516-528-7731
Mailing Address - Fax:
Practice Address - Street 1:888 8TH AVE
Practice Address - Street 2:APT 20V
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5704
Practice Address - Country:US
Practice Address - Phone:516-528-7731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08759000207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology