Individual
ELENA ANDREYEVNA HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
76 VETERANS AVE, BATH, NY 14810-0810
(607) 664-4000
Mailing address
76 VETERANS AVE, BATH, NY 14810-0810
(607) 664-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308950
NY
Other
Enumeration date
12/24/2018
Last updated
12/24/2018
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