Provider Demographics
NPI:1447801808
Name:O'DWYER, ELISABETH (MBBCHBAO)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:
Last Name:O'DWYER
Suffix:
Gender:F
Credentials:MBBCHBAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST. RADIOLOGY,
Mailing Address - Street 2:CORNELL/NEW YORK PRESBYTERIAN
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-4574
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST. RADIOLOGY
Practice Address - Street 2:CORNELL/NEW YORK PRESBYTERIAN
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:646-908-0947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2992002085B0100X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging