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ELISSA MICHELLE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
310 E SHORE RD STE 104, GREAT NECK, NY 11023-2432
(516) 829-9550
Mailing address
310 E SHORE RD STE 104, GREAT NECK, NY 11023-2432

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306421-1
NY

Other

Enumeration date
05/07/2018
Last updated
02/23/2021
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