Individual
MARIAM GYDALIS ELVIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 470-6781
Mailing address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 470-6781
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NY
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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