Individual
ELISHA HINMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1424 GENESEE ST, UTICA, NY 13502-5101
(315) 724-6146
(315) 724-0308
Mailing address
568 MADISON AVE, APT 1 BASEMENT, ALBANY, NY 12208-3695
(518) 374-5353
(518) 347-1413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017576-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017576-1
LICENSE
NY
Enumeration date
06/26/2014
Last updated
06/26/2014
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