Individual
ELYSE M ROMANIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 FRONT ST, VESTAL, NY 13850-1559
(607) 658-1003
(607) 658-1006
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014521
NY
363AM0700X
Medical Physician Assistant
PA030624
DC
Other
Enumeration date
08/25/2009
Last updated
08/25/2015
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