Individual
MRS. ELENA M ZISLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 E RIDGEWOOD AVE STE 208, RIDGEWOOD, NJ 07450-3937
(201) 444-0868
(201) 444-7363
Mailing address
513 TEAL PLZ, SECAUCUS, NJ 07094-2217
(732) 616-6841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00165100
NJ
363AS0400X
Surgical Physician Assistant
PA9102887
FL
Other
Enumeration date
09/09/2005
Last updated
06/07/2024
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