Individual
MS. ELIZABETH GERTRUDE SALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 TEMPLE ST, SUITE 100, OWEGO, NY 13827-1421
(607) 687-5616
Mailing address
251 CULVER RD, ITHACA, NY 14850-8782
(607) 277-2201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
330406-1
NY
Other
Enumeration date
02/23/2006
Last updated
01/27/2012
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