Individual
ELLIE NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
355 KEAR ST, YORKTOWN HEIGHTS, NY 10598-4415
(914) 962-5060
Mailing address
355 KEAR ST, YORKTOWN HEIGHTS, NY 10598-4415
(914) 962-5060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028745
NY
Other
Enumeration date
09/14/2022
Last updated
04/03/2026
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