Individual
PENNY L. MCELHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 243-4000
Mailing address
31 BRENDEN CT, CLIFTON PARK, NY 12065-7634
(518) 371-9116
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000492540001
BLUE SHIELD
NY
01
—
060307000076
FIDELIS CARE
NY
Enumeration date
07/24/2006
Last updated
07/08/2007
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