Individual
ELVIRA N FAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4 TOWER PL FL 8, ALBANY, NY 12203-3715
(518) 489-4471
Mailing address
4 TOWER PL FL 8, ALBANY, NY 12203-3715
(518) 489-4471
(518) 489-4506
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F343880-01
NY
363LF0000X
Family Nurse Practitioner
9347623
FL
Other
Enumeration date
10/10/2018
Last updated
03/16/2023
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