Individual
ALIAA ELKELISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
172 HOPE AVE # 10305, STATEN ISLAND, NY 10305-2914
(917) 873-0753
Mailing address
172 HOPE AVE # 10305, STATEN ISLAND, NY 10305-2914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1204081181
NY
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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