Individual
ELISE GREVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(866) 426-7787
Mailing address
525 E 68TH ST # 117, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031431
NY
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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