Individual
MS. ELANA BIRNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-6369
Mailing address
273 MAIN ST, STATEN ISLAND, NY 10307-1723
(718) 689-3686
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F-305330-1
NY
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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