Individual
ELIZABETH KATHLEEN JOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E 34TH ST, NEW YORK CITY, NY 10016
(212) 731-6000
Mailing address
4545 CENTER BLVD, APT # 3116, LONG ISLAND CITY, NY 11109
(347) 707-5770
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310520-01
NY
363LG0600X
Gerontology Nurse Practitioner
F310520-01
NY
363LP2300X
Primary Care Nurse Practitioner
F310520-01
NY
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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