Provider Demographics
NPI:1891002077
Name:HIRSCH-COTTER, ELISA (MS, LAC)
Entity Type:Individual
Prefix:MS
First Name:ELISA
Middle Name:
Last Name:HIRSCH-COTTER
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 S STEUBEN CT
Mailing Address - Street 2:APT D
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-1309
Mailing Address - Country:US
Mailing Address - Phone:845-926-6909
Mailing Address - Fax:
Practice Address - Street 1:10 S STEUBEN CT
Practice Address - Street 2:APT D
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-1309
Practice Address - Country:US
Practice Address - Phone:845-926-6909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004450171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist