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Contact Information

ELISABETH JEREMIAS, MD
23 SOUTH HOWELL AVENUE
STONY BROOK EXTENDED CARE OB/GYN
CENTEREACH, NY11720
 Phone: 516-542-6880
 Fax: 516-542-5556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ELISABETH JEREMIAS · (Female)

NPI # 1154395416
Status Active
Credentials MD
Entity Individual
Enumeration date 02/14/2006
Last updated 10/10/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 226258
  • MA Medicaid 2110580
  • Other J29518 BLUE CARE ELECT
  • Other 90919 FALLON COMMUNITY HEALTH
  • Other AA45543 HARVARD PILGRIM
  • Other 792643 MVP HEALTH CARE
  • Other 042472266 PRIVATE HEALTHCARE SYSTEM
  • Other 494320 TUFTS HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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