Provider Demographics
NPI:1952535932
Name:KORANGY, ELIZABETH MARCHETTI (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARCHETTI
Last Name:KORANGY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 FLINT ROAD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-1664
Mailing Address - Country:US
Mailing Address - Phone:716-568-3762
Mailing Address - Fax:
Practice Address - Street 1:115 FLINT RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3058
Practice Address - Country:US
Practice Address - Phone:716-568-3762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257929-1207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology