Individual
ELICIA BESSALELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 NORTH RD, GREAT NECK, NY 11024-1933
(516) 633-4810
Mailing address
11 NORTH RD, GREAT NECK, NY 11024-1933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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