Provider Demographics
NPI:1316269707
Name:YOZAWITZ, ELISSA (MD)
Entity type:Individual
Prefix:DR
First Name:ELISSA
Middle Name:
Last Name:YOZAWITZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 PELHAM PKWY S RM 316
Mailing Address - Street 2:ROSE F. KENNEDY CENTER
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1116
Mailing Address - Country:US
Mailing Address - Phone:718-430-2464
Mailing Address - Fax:917-954-8086
Practice Address - Street 1:1410 PELHAM PKWY S RM 316
Practice Address - Street 2:ROSE F. KENNEDY CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1116
Practice Address - Country:US
Practice Address - Phone:718-430-2464
Practice Address - Fax:917-954-8086
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243684208000000X, 2084E0001X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy