Provider Demographics
NPI:1285955740
Name:ELBRECHT, CELIA H (MD)
Entity type:Individual
Prefix:DR
First Name:CELIA
Middle Name:H
Last Name:ELBRECHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:126 FARM ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-3767
Mailing Address - Country:US
Mailing Address - Phone:607-319-4472
Mailing Address - Fax:607-319-4472
Practice Address - Street 1:126 FARM ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-3767
Practice Address - Country:US
Practice Address - Phone:607-319-4472
Practice Address - Fax:607-319-4472
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY256579-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY256579-1OtherNEW YORK STATE OFFICE OF THE PROFESSIONS