Elena Visconti di Modrone, MSC, LP
Elena Visconti di Modrone, MSC, LP is an Undefined Non-Physician Type (Specify) in New York, New York. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 10
- Licensed in
- NY
- In the registry since
- 2011
Practice location Address checks out
303 5th Ave Ste 1910New York, NY 10016-6601
Phone: (646) 785-4622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychoanalyst (primary) | Taxonomy 102L00000X · Licence 000859 (NY) |
|---|
Record details
| NPI number | 1124310313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSC , LP |
| Sole proprietor | Yes |
| NPI enumerated | May 6, 2011 |
| Last updated in NPPES | May 6, 2011 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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