Provider Demographics
NPI:1346690435
Name:MAY, ELIZABETH BREEN (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:BREEN
Last Name:MAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 MAPLE ST STE 333
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-5097
Mailing Address - Country:US
Mailing Address - Phone:802-300-3605
Mailing Address - Fax:
Practice Address - Street 1:47 MAPLE ST STE 333
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-5097
Practice Address - Country:US
Practice Address - Phone:802-300-3605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2908792084P0800X
VT042.00154542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry