Individual
ALEXANDRIA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SI
Contact information
Practice address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
(718) 828-2666
Mailing address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
12/13/2021
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