Chrysalis Medical Wellness Services
Internal Medicine in Binghamton, NY. Organization (NPI-2).
NPI number1053076331
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1053076331
- Entity type
- Organization (NPI-2)
- Legal business name
- Chrysalis Medical Wellness Services
- Organization subpart
- No
- Enumeration date
- Nov 2, 2021
- Certification date
- Nov 2, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
117 Park AveBinghamton, NY 13903-3342
Phone 607-232-3304
Mailing address
117 Park AveBinghamton, NY 13903-3342
Authorized official
Lizeth Diaz Ledesma
MD
6072323304
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