Provider Demographics
NPI:1548225006
Name:PALIS, ELIZABETH SYLVIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SYLVIA
Last Name:PALIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:85 HUNTERS LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-4211
Mailing Address - Country:US
Mailing Address - Phone:585-461-1696
Mailing Address - Fax:585-463-2781
Practice Address - Street 1:465 WESTFALL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4645
Practice Address - Country:US
Practice Address - Phone:585-463-2681
Practice Address - Fax:585-463-2781
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY170884207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYVAD000Medicare UPIN