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Individual

ELINA ATLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
40 W BRIGHTON AVE STE 103, BROOKLYN, NY 11224-4901
(917) 609-6194
(718) 996-1123
Mailing address
250 CEDRUS AVE, EAST NORTHPORT, NY 11731-4515
(917) 609-6194

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001763
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02619872
NY
Enumeration date
01/08/2013
Last updated
12/19/2016
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