Individual
ELANA LITWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2701 QUEENS PLZ N FL 10, LONG ISLAND CITY, NY 11101-4022
(818) 517-9403
Mailing address
137 W 96TH ST, NEW YORK, NY 10025-6403
(646) 602-4962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022361
NY
363AM0700X
Medical Physician Assistant
022361
NY
363AS0400X
Surgical Physician Assistant
022361
NY
Other
Enumeration date
07/26/2018
Last updated
10/19/2021
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