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Elisha Wortham

NPI 1447155528 · on the registry since 2026

Practice

Address
4594 Onondaga Blvd Apt 38
Syracuse, NY 13219
Phone
(315) 882-3064

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York