Individual
MISS ELANA SULEYMANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SC
Contact information
Practice address
24902 JERICHO TPKE, FLORAL PARK, NY 11001-4023
(347) 837-7762
Mailing address
6136 185TH ST, FRESH MEADOWS, NY 11365-2119
(347) 837-7762
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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