Individual
MRS. ELIZABETH ANN PALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3297 BELTAGH AVE, WANTAGH, NY 11793-3362
(516) 679-6439
Mailing address
2042 WILLOUGHBY AVE, WANTAGH, NY 11793-4127
(516) 785-3725
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
349934
NY
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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