Individual
ELLA ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7714 113TH ST APT 5V, FOREST HILLS, NY 11375-7122
(516) 375-5533
Mailing address
7714 113TH ST APT 5V, FOREST HILLS, NY 11375-7122
(516) 375-5533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F340598
NY
Other
Enumeration date
05/06/2016
Last updated
06/22/2022
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