Individual
CHIPPY ELSA SAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8900
Mailing address
24763A 77TH CRES, BELLEROSE, NY 11426-1886
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F309446-01
NY
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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