Individual
MR. ELMO FERREIRA DESLANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3965 SEDGWICK AVE APT 7C, BRONX, NY 10463-3139
(718) 548-0219
Mailing address
3965 SEDGWICK AVE APT 7C, BRONX, NY 10463-3139
(718) 548-0219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006720-1
NY
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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