Individual
AURELIA ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3334 84TH ST, JACKSON HEIGHTS, NY 11372-1530
(646) 957-2368
Mailing address
3334 84TH ST, JACKSON HEIGHTS, NY 11372-1530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301851
NY
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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