Chrysalis Medical Wellness Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHRYSALIS MEDICAL WELLNESS SERVICES

Practice address

117 Park Ave
Binghamton, NY 13903-3342

Phone

(607) 232-3304

NPI assigned

Nov 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lizeth Diaz LedesmaNPI 1700085784

Title

MD

Phone

(607) 232-3304

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lizeth Diaz Ledesma, MD

  • Internal Medicine Physician
  • Binghamton, NY
  • NPI 1700085784
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1053076331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PARK AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139033342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PARK AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139033342",
            "telephone_number": "607-232-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS MEDICAL WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "DIAZ LEDESMA",
        "authorized_official_first_name": "LIZETH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "607-232-3304",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faiza Choudhry
• Zaima Choudhry, M.D.
• Fahmi Chowdhury, PHARM D.
• Debbie Chrispell, LPN
• Rebecca Anne Christophersen, FNPC
• Nicole Chudacik, PHARMD
• Dawna L Cicak, LMSW
• Rosemary Ciotoli
• City of Binghamton
• Jason Michael Ciubotaru, MD

• Internal Medicine Physician in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.