Individual
ELSA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3000
Mailing address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F337926-1
NY
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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