Provider Demographics
NPI:1437358967
Name:ROSS, ELIZABETH O, (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:O,
Last Name:ROSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:144 E 7TH ST
Mailing Address - Street 2:APT A15
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-6203
Mailing Address - Country:US
Mailing Address - Phone:917-309-1470
Mailing Address - Fax:
Practice Address - Street 1:144 E 7TH ST
Practice Address - Street 2:APT A15
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-6203
Practice Address - Country:US
Practice Address - Phone:917-309-1470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI16185207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology