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Organization
ELISHEVA TRATNER NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Organization
ELISHEVA TRATNER NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISHEVA TRATNER NP (PROVIDER)
(917) 502-6482
Entity
Organization
Contact information
Practice address
654 NUTLEY PL, VALLEY STREAM, NY 11581-3028
(917) 502-6482
Mailing address
654 NUTLEY PL, VALLEY STREAM, NY 11581-3028
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F309044-1
NURSE PRACTITIONER LIC
NY
Enumeration date
12/02/2022
Last updated
06/28/2023
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