Individual
ELSA PUMA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 328-2868
Mailing address
2700 WESTCHESTER AVENUE, PURCHASE, NY 10577
(914) 328-2868
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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