Individual
ELIZABETH NICOLE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8 S PORTLAND AVE APT 4, BROOKLYN, NY 11217-1307
(518) 396-7623
Mailing address
8 S PORTLAND AVE APT 4, BROOKLYN, NY 11217-1307
(518) 396-7623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021784
NY
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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