Provider Demographics
NPI:1649445495
Name:ELSA D. PASCUAL, M.D., P.C.
Entity type:Organization
Organization Name:ELSA D. PASCUAL, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PASCUAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-294-8817
Mailing Address - Street 1:3302 ROUTE 207
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-5002
Mailing Address - Country:US
Mailing Address - Phone:845-294-8817
Mailing Address - Fax:845-294-3612
Practice Address - Street 1:3302 ROUTE 207
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-5002
Practice Address - Country:US
Practice Address - Phone:845-294-8817
Practice Address - Fax:845-294-3612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144835207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty