Individual
DELORES ELLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 JOHN ST, KINGSTON, NY 12401-3821
(845) 331-7080
(845) 331-0526
Mailing address
PO BOX 3516, KINGSTON, NY 12402-3516
(845) 331-7080
(845) 331-0526
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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