Individual
JULIE A ELSIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
135 N UNION ST, BLUE BIRD SQUARE, OLEAN, NY 14760-2736
(716) 375-7500
(716) 701-6853
Mailing address
135 N UNION ST, BLUE BIRD SQUARE, OLEAN, NY 14760-2736
(716) 375-7500
(716) 701-6853
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005893
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196648
UNIVERA
NY
01
—
000570389005
BC/BS
—
01
—
9512015
INDEPENDENT HEALTH
—
Enumeration date
07/28/2006
Last updated
08/27/2024
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