Provider Demographics
NPI:1194956854
Name:FOXEN, ELIZABETH JANE (M D)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JANE
Last Name:FOXEN
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Gender:F
Credentials:M D
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Mailing Address - Street 1:1345 RXR PLZ FL 13
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11556-1301
Mailing Address - Country:US
Mailing Address - Phone:516-453-0435
Mailing Address - Fax:646-846-3283
Practice Address - Street 1:292 HERRICKS RD
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501
Practice Address - Country:US
Practice Address - Phone:516-746-2273
Practice Address - Fax:516-746-2272
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2019-11-26
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Provider Licenses
StateLicense IDTaxonomies
NY237894207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine