Individual
ELSIE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MARVIN RD, BAY SHORE, NY 11706-1628
(631) 708-7291
Mailing address
25 MARVIN RD, BAY SHORE, NY 11706-1628
(631) 708-7291
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
284750-1
NY
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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