Individual
ELAINE SARAH CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4817
(718) 683-0474
Mailing address
39 POND ST APT 3, JAMAICA PLAIN, MA 02130-2502
(718) 683-0474
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401961
NY
Other
Enumeration date
11/21/2012
Last updated
06/15/2023
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