Individual
ELIZABETH ANNE WESTENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 MEDFORD AVE, PATCHOGUE, NY 11772-1206
(631) 475-5734
(631) 758-2568
Mailing address
130 MEDFORD AVE, PATCHOGUE, NY 11772-1206
(631) 475-5734
(631) 758-2568
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015437-1
NY
363AM0700X
Medical Physician Assistant
PA4050
MA
Other
Enumeration date
03/30/2011
Last updated
12/02/2013
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