National Provider Identifier

Elizabeth Anne Board, MSED

Elizabeth Anne Board, MSED is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 377-2230.

NPI 1598028029Fairport, NYSpecialist

Profile Overview

NPI
1598028029
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 19, 2012
Last Updated
June 19, 2012

Practice Location

  • 149 N Main St
  • Fairport, NY 14450-1434

Phone: (585) 377-2230

Mailing Address

  • 27 Cave Holw
  • West Henrietta, NY 14586-9568

Specialties

  • Specialist (174400000X)
Full Record
NPI
1598028029
Entity Type
Individual
Last Name
Board
First Name
Elizabeth
Middle Name
Anne
Name Prefix
MS.
Credential
MSED
Mailing Street Address
27 Cave Holw
Mailing City
West Henrietta
Mailing State
NY
Mailing ZIP Code
14586-9568
Mailing Country
US
Mailing Phone
(585) 301-2231
Practice Street Address
149 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1434
Practice Country
US
Practice Phone
(585) 377-2230
Practice Fax
(585) 377-2243
Enumeration Date
June 19, 2012
Last Updated
June 19, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)