Individual
ALLISON ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 E 90TH ST, NEW YORK, NY 10128
(212) 876-3319
(212) 423-0840
Mailing address
105 E 90TH ST # 6E, NEW YORK, NY 10128-1504
(212) 876-3319
(212) 423-0840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018427
NY
363A00000X
Physician Assistant
03280
CT
Other
Enumeration date
02/09/2015
Last updated
07/12/2018
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