Individual
COLETTE PAULINE ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 OSAGE LN, STATEN ISLAND, NY 10312-6124
(917) 939-0602
Mailing address
8 OSAGE LN, STATEN ISLAND, NY 10312-6124
(917) 939-0602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
04/29/2013
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