Provider Demographics
NPI:1699754515
Name:LEGATT, ELIZABETH M (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:LEGATT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:1 THEALL RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1404
Practice Address - Country:US
Practice Address - Phone:914-848-8800
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2013-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY136957-1207V00000X
CT026970207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00635630Medicaid
NY751E81/761E71OtherBLUE CROSS DELUXE
NY133884168OtherHORIZON HEALTHCARE OF NY
NY4230078OtherAETNA NON HMO
NY6124279OtherCIGNA
NY133884168OtherBEECH STREET
NY133884168OtherPOMCO
NY133884168OtherPHCS
NY000560OtherCONNECTICARE
NY100944OtherUNITED HEALTH CARE
NY133884168OtherMULTIPLAN
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY0296879OtherGHI PPO
NY3745935OtherAETNA HMO
NY3C7593OtherHEALTH NET
NYPWP290OtherOXFORD
NY100944OtherUNITED HEALTH CARE
NY133884168OtherHORIZON HEALTHCARE OF NY
CT160002247/03316Medicare ID - Type Unspecified