Provider Demographics
NPI:1962651323
Name:PAIETTA, ELISABETH MARIA (PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:MARIA
Last Name:PAIETTA
Suffix:
Gender:F
Credentials:PHD, LAC
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Mailing Address - Street 1:20 OLD MAMARONECK RD
Mailing Address - Street 2:APT. # 6E
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2060
Mailing Address - Country:US
Mailing Address - Phone:914-806-0345
Mailing Address - Fax:718-920-1161
Practice Address - Street 1:20 OLD MAMARONECK RD
Practice Address - Street 2:APT. # 6E
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2060
Practice Address - Country:US
Practice Address - Phone:914-806-0345
Practice Address - Fax:718-920-1161
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY003915171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist