Individual
ELIZABETH UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
262 CONKLIN AVE, BINGHAMTON, NY 13903-2308
(607) 762-8345
Mailing address
3007 KING ST, ENDWELL, NY 13760-3331
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
634830-1
NY
Other
Enumeration date
09/20/2014
Last updated
09/20/2014
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