Individual
MS. ELYSE S. FINE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
121 AVENUE OF THE AMERICAS, NEW YORK, NY 10013-1510
(212) 941-9090
(212) 941-9614
Mailing address
162 W 80TH ST, APT. #E, NEW YORK, NY 10024-6327
(212) 874-7163
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380809-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02359286
—
NY
Enumeration date
11/22/2005
Last updated
07/08/2007
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