Individual
ELIN MOGOLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 929-7800
Mailing address
92 HARRISON ST, DUMONT, NJ 07628-1310
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431967-01
NY
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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