Individual
ELANA COSCETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
93 MAIN STREET, SUITE A, KINGS PARK, NY 11754
(631) 292-2725
(631) 292-2727
Mailing address
93 MAIN STREET, SUITE A, KINGS PARK, NY 11754
(631) 292-2725
(631) 292-2727
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
008242-1
NY
367A00000X
Advanced Practice Midwife
Primary
008242-1
NY
Other
Enumeration date
09/25/2006
Last updated
09/07/2010
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