Individual
EMILY ELBOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
18606 UNION TPKE, FRESH MEADOWS, NY 11366-1734
(718) 575-0974
Mailing address
7374 136TH ST, FLUSHING, NY 11367-2827
(347) 415-0930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022051
NY
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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