Individual
ELIZABETH LOYOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Mailing address
9745 ECKFORD AVE, OZONE PARK, NY 11417-3017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034571-01
NY
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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