Organization
ELISHEVA TRATNER NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISHEVA TRATNER NP (PROVIDER)
(917) 502-6482
Entity
Organization
Contact information
Practice address
654 NUTLEY PL, VALLEY STREAM, NY 11581-3028
(917) 502-6482
Mailing address
654 NUTLEY PL, VALLEY STREAM, NY 11581-3028
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F309044-1
NURSE PRACTITIONER LIC
NY
Enumeration date
12/02/2022
Last updated
06/28/2023
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