Provider Demographics
NPI:1134392004
Name:RAUSCH-PHUNG, ELIZABETH (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:RAUSCH-PHUNG
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:RAUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:EMPIRE STATE PLZ
Mailing Address - Street 2:CORNING TOWER ROOM 649
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12237-0001
Mailing Address - Country:US
Mailing Address - Phone:518-473-4437
Mailing Address - Fax:518-474-1495
Practice Address - Street 1:EMPIRE STATE PLZ
Practice Address - Street 2:CORNING TOWER ROOM 649
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12237-0001
Practice Address - Country:US
Practice Address - Phone:518-473-4437
Practice Address - Fax:518-474-1495
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2507332083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine