Provider Demographics
NPI:1306151279
Name:DUCAT, ELIZABETH ANN (NP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ANN
Last Name:DUCAT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10 STUYVESANT OVAL APT 5G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2440
Mailing Address - Country:US
Mailing Address - Phone:917-940-0513
Mailing Address - Fax:
Practice Address - Street 1:952 5TH AVE APT 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1749
Practice Address - Country:US
Practice Address - Phone:212-249-1600
Practice Address - Fax:212-288-0809
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF302951-1363LA2200X
NYF401745-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health