Provider Demographics
NPI:1265315642
Name:DEWJEE, ELIZABETH (ATR-BC, LPAT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:DEWJEE
Suffix:
Gender:F
Credentials:ATR-BC, LPAT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:YOUNGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:556 SWAGGERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12302-3720
Mailing Address - Country:US
Mailing Address - Phone:904-571-8859
Mailing Address - Fax:
Practice Address - Street 1:939 ROUTE 146 STE 520
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3662
Practice Address - Country:US
Practice Address - Phone:518-676-1791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ16LP00012700221700000X
NYP137169221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist