Individual
IAN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 FLATBUSH AVE APT 2, BROOKLYN, NY 11210-1336
(646) 775-1410
Mailing address
1080 BERGEN ST UNIT 168, BROOKLYN, NY 11216-3340
(646) 775-1410
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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