Individual
ELIZABETH ANN EDURESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4444
Mailing address
1274 1ST AVE APT 13, NEW YORK, NY 10065-5621
(330) 612-8110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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