Provider Demographics
NPI:1275600116
Name:GAZZOLA-KRAENZLIN, ELENA ERIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:ERIKA
Last Name:GAZZOLA-KRAENZLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PURCHASE ST STE 8A
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2143
Mailing Address - Country:US
Mailing Address - Phone:914-967-9000
Mailing Address - Fax:914-967-9007
Practice Address - Street 1:150 PURCHASE ST STE 8A
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2143
Practice Address - Country:US
Practice Address - Phone:914-967-9000
Practice Address - Fax:914-967-9007
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215407208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics