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Individual

MR. DANIEL C. ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
210 E 10TH ST, NEW YORK, NY 10003-7707
(212) 674-4033
Mailing address
210 E 10TH ST, NEW YORK, NY 10003-7707
(212) 674-4033

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4973-1
NY

Other

Enumeration date
03/23/2008
Last updated
03/23/2008
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