National Provider Identifier
Elisa Marie Crystal Wang, MD
Elisa Marie Crystal Wang, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Ithaca, NY and a listed phone number of (607) 274-6200.
Source: public NPPES record, last updated May 13, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1942615646
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- June 23, 2014
- Last Updated
- May 13, 2024
Practice Location
- 201 E Green St
- Ithaca, NY 14850-5635
Phone: (607) 274-6200
Specialties
- Psychiatry Physician (2084P0800X)
- Psychiatry Physician (2084P0800X)
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Biography
Dr. Elisa Crystal Wang is a psychiatrist in Ithaca whose professional background includes a part-time psychiatrist role at Tompkins County’s Mental Health Clinic. She previously practiced behavioral health at Lawndale Christian Health Center in Chicago, where her profile lists her as board certified by the American Board of Psychiatry and Neurology and a graduate of Ben-Gurion University Faculty of Medicine.
Full Record
- NPI
- 1942615646
- Entity Type
- Individual
- Last Name
- Wang
- First Name
- Elisa
- Middle Name
- Marie Crystal
- Name Prefix
- Dr.
- Credential
- MD
- Provider Other Last Name
- Crystal
- Provider Other First Name
- Elisa
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 201 E Green St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5635
- Mailing Country
- US
- Mailing Phone
- (607) 274-6200
- Practice Street Address
- 201 E Green St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5635
- Practice Country
- US
- Practice Phone
- (607) 274-6200
- Enumeration Date
- June 23, 2014
- Last Updated
- May 13, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 13, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Psychiatry Physician (2084P0800X)