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Individual

ELIZABETH MARIE SOVOCOOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
24 ALBRO RD, MARATHON, NY 13803-2808
(607) 849-3180
(607) 662-4919
Mailing address
85 S WEST ST, HOMER, NY 13077-1542
(607) 753-3797
(607) 753-6677

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
348551
NY
363LF0000X
Family Nurse Practitioner
Primary
348551
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06941377
NY
Enumeration date
11/24/2021
Last updated
03/04/2026
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