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Individual

MISS ELIZABETH JEANNE SULAVIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1309 FULTON AVE SECOND FL, BRONX, NY 10456
(347) 396-6299
Mailing address
4209 28TH ST # CN-48, LONG ISLAND CITY, NY 11101-4130
(347) 396-6299
(347) 396-6367

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420721-1
NY

Other

Enumeration date
09/22/2005
Last updated
01/03/2025
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