Individual
ELYN CLAIRE ILISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
23 NEW SCOTLAND AVE, ALBANY, NY 12208-3528
(518) 262-4000
Mailing address
58 CAPITOL PL, RENSSELAER, NY 12144-9659
(518) 322-1018
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407622-01
NY
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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