Individual
ELANA RADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6 WELLNESS WAY STE G03, LATHAM, NY 12110-2135
(518) 785-5884
(518) 783-6890
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020274
NY
Other
Enumeration date
10/18/2016
Last updated
09/23/2024
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