Provider Demographics
NPI:1376837930
Name:PRSIC, ELIZABETH HORN (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HORN
Last Name:PRSIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:FRANCES
Other - Last Name:HORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:20 YORK STREET
Mailing Address - Street 2:NORTH PAVILLION 4
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510
Mailing Address - Country:US
Mailing Address - Phone:203-785-6977
Mailing Address - Fax:203-785-3712
Practice Address - Street 1:20 YORK STREET
Practice Address - Street 2:NORTH PAVILLION 4
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-785-6977
Practice Address - Fax:203-785-3712
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT61992207RH0002X
WAMD.MD.60781064207R00000X, 207RX0202X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology