| Dr Elisa Marie Crystal Wang, MD | |
|
201 E Green St, Ithaca, NY 14850-5635 | |
| (607) 274-6200 | |
| Not Available |
| Full Name | Dr Elisa Marie Crystal Wang |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 201 E Green St, Ithaca, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942615646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036146202 (Illinois) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 312716 (New York) | Primary |
| Entity Name | Lawndale Christian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245289214 PECOS PAC ID: 2264336346 Enrollment ID: O20031120000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elisa Marie Crystal Wang, MD 201 E Green St, Ithaca, NY 14850-5635 Ph: (607) 274-6200 | Dr Elisa Marie Crystal Wang, MD 201 E Green St, Ithaca, NY 14850-5635 Ph: (607) 274-6200 |
Gerard P Lippert, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 201 East Green St, Ithaca, NY 14850 Phone: 607-274-6200 Fax: 607-274-6316 | |
Christopher M King, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 905 Hanshaw Road, Suite A, Ithaca, NY 14850 Phone: 607-273-6757 Fax: 607-273-2854 | |
Dr. Jennifer Hill Gunn, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 318 N Aurora St, Ithaca, NY 14850 Phone: 607-277-0784 | |
Colin Kenneth Dauria, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2309 N Triphammer Rd, Ithaca, NY 14850 Phone: 607-257-2045 | |
Dr. Celia H Elbrecht, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 126 Farm St, Ithaca, NY 14850 Phone: 607-319-4472 Fax: 607-319-4472 | |
Dr. James S Gaffney, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8 Brentwood Dr, Suite B, Ithaca, NY 14850 Phone: 607-273-6757 Fax: 607-273-2854 | |
Carlo Manalo Dangcalan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 |