Individual
MRS. ELIZABETH J JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
622 W 168TH ST FL 2, NEW YORK, NY 10032-3720
(212) 305-6354
(212) 305-6279
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9280
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306238
NY
Other
Enumeration date
09/25/2013
Last updated
03/14/2018
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