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MRS. ELIZABETH ANN SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
496 COUNTY ROAD 111, BUILDING B, MANORVILLE, NY 11949
(631) 405-3200
(631) 395-6010
Mailing address
185 OLD COUNTRY RD, STE 2, RIVERHEAD, NY 11901-2121
(631) 298-4479
(631) 591-3047

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017746-1
NY

Other

Enumeration date
07/24/2014
Last updated
02/14/2015
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