Individual
ELMER JONES TADENA ELMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP, PMHNP, ACNS
Contact information
Practice address
427 GUY PARK AVE FL 3, AMSTERDAM, NY 12010-1064
(518) 770-7518
(518) 770-7570
Mailing address
427 GUY PARK AVE FL 3, AMSTERDAM, NY 12010-1064
(518) 770-7518
(518) 770-7570
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
430819
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401862
NY
Other
Enumeration date
07/11/2014
Last updated
05/05/2019
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