Individual
CLAUDETTE ELLIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
434 SIMPSON PL, PEEKSKILL, NY 10566-4524
(914) 484-0920
Mailing address
434 SIMPSON PL, PEEKSKILL, NY 10566-4524
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317235
NY
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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