Individual
ELYSA AMBER MCCLINTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-3241
(570) 887-3236
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
283897
NY
207W00000X
Ophthalmology Physician
Primary
MD457228
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04506832
—
NY
05
—
1031356160001
—
PA
Enumeration date
10/13/2010
Last updated
02/26/2021
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