Individual
ELISABETH KUSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31 LOWER HUDSON AVE, GREEN ISLAND, NY 12183-1014
(518) 272-9140
(518) 272-9145
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 999-9999
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033121
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/01/2019
Last updated
02/10/2025
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