Individual
MR. REGINALD ELPENORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
1348 E 84TH ST, BROOKLYN, NY 11236-5104
(718) 531-9588
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013167-1
NY
Other
Enumeration date
03/04/2009
Last updated
12/21/2021
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