Individual
MRS. ELIZABETH MARIE HOOGHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(484) 354-1727
Mailing address
20 GRAND STREET, 3RD FL, WARWICK, NY 10990-1035
(845) 368-5000
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014699-1
NY
363A00000X
Physician Assistant
PA9105143
FL
Other
Enumeration date
10/08/2009
Last updated
03/25/2021
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