Individual
ELLYA ABIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
125 HURON ST APT 1, BROOKLYN, NY 11222-3873
(610) 762-9306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
02394501
NY
Other
Enumeration date
12/04/2019
Last updated
08/02/2021
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