Basic Information
| Provider Information | |||||||||
| NPI: | 1376613547 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOOKNER | ||||||||
| FirstName: | ELISSA | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 FOREST LN | ||||||||
| Address2: | |||||||||
| City: | SCARSDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105836403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189042904 | ||||||||
| FaxNumber: | 7189042517 | ||||||||
| Practice Location | |||||||||
| Address1: | WEILER - EMERGENCY MEDICINE | ||||||||
| Address2: | 1825 EASTCHESTER ROAD | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189042904 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 197567 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.