Individual
ELIF AJREDINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 WESTWOOD AVE, WATERBURY, CT 06708-2460
(203) 574-5997
Mailing address
21 STIEG AVE, STATEN ISLAND, NY 10308-1535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
026558
NY
363A00000X
Physician Assistant
6170
CT
363AM0700X
Medical Physician Assistant
Primary
6710
CT
Other
Enumeration date
11/18/2019
Last updated
11/28/2023
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