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Individual

ELEANORE ELIZABETH EGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
40 FLATBUSH AVENUE EXT, BROOKLYN, NY 11201-2903
(212) 271-7200
Mailing address
40 FLATBUSH AVENUE EXT, BROOKLYN, NY 11201-2903

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026234
NY
363AM0700X
Medical Physician Assistant
PA031144
DC

Other

Enumeration date
09/05/2013
Last updated
03/05/2025
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