Elizabeth Dale
Individual provider Active NPI Licensed Practical Nurse · East Greenbush, NY
NPI 1932098076 · NPPES record last updated Jul 2, 2025
Key facts
- NPI
- 1932098076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 290557 (NY)
- Practice address
- 73A Troy Road First Floor, Unit 2
East Greenbush, NY 12061 - Phone
- (518) 449-1142
- NPI assigned
- Jul 2, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 290557 | NY | Yes |
Addresses
Primary practice location
73A Troy Road First Floor, Unit 2
East Greenbush, NY 12061
Mailing address
73A Troy Road First Floor, Unit 2
East Greenbush, NY 12061
Phone (518) 449-1142
Other providers in East Greenbush, NY
- Ashley Criscone
- Sophia Cuomo
- Karen Curran
- CVS Albany, L.L.C.
- Lindsey Dahlke
- Rachel Deeb
- Tracey L Degray
- Cara Della Villa
- Nicole Depasquale
- Michelle Deprima
All providers in East Greenbush, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.