Individual
C'ERRALEONE P ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2811 QUEENS PLZ N FL 5, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
170 MERMAID LN, BRONX, NY 10473-2467
(917) 297-7470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
929063
NY
164W00000X
Licensed Practical Nurse
337157
NY
Other
Enumeration date
03/04/2020
Last updated
12/30/2025
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