Individual
ELLEN R YOUSSEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29 GLEASON BLVD, PLEASANT VALLEY, NY 12569-7764
(845) 635-8285
Mailing address
29 GLEASON BLVD, PLEASANT VALLEY, NY 12569-7764
(845) 635-8285
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001520
NY
Other
Enumeration date
04/28/2012
Last updated
04/28/2012
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