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Individual

ELENA PEREIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
75-59 263 STREET, GLEN OAKS, NY 11004-1306
(718) 470-8306
(718) 470-4678
Mailing address
75-59 263 STREET, GLEN OAKS, NY 11004-1306
(718) 470-8306
(718) 470-4678

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
440309
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F430318-1
NY

Other

Enumeration date
08/10/2010
Last updated
08/10/2010
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