Individual
ELAINE ROSE ABDULKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1020 CRAFT RD STE C, ITHACA, NY 14850-1016
(607) 339-0625
Mailing address
721 HANSHAW RD, ITHACA, NY 14850-1542
(607) 342-3512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026193
NY
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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