Individual
ELIZABETH SILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
27 WICKS RD, BRENTWOOD, NY 11717-4213
(631) 231-5070
Mailing address
32 PATRICIA LN, LAKE GROVE, NY 11755-2843
(631) 471-3962
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381434-1
NY
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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