Individual
MISS ELAINA CONSIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314
(189) 873-3387
Mailing address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3548
(189) 873-3387
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024561
NY
Other
Enumeration date
08/29/2019
Last updated
07/07/2021
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