Individual
LONI ELIGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11509 109TH AVE, SOUTH OZONE PARK, NY 11420-1202
(917) 459-1799
Mailing address
11509 109TH AVE, SOUTH OZONE PARK, NY 11420-1202
(917) 459-1799
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306886
NY
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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