Individual
ELIZABETH DANIELLE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
865 WALTON AVE APT 5G, BRONX, NY 10451-2242
(518) 961-1233
Mailing address
1537 ROSSER AVE, ELMONT, NY 11003-3000
(518) 961-1233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23019000
NY
Other
Enumeration date
09/01/2015
Last updated
02/26/2024
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