Elizabeth Ann Edurese, PA-C
Physician Assistant in Brooklyn, NY. Individual provider (NPI-1).
NPI number1033788674
StatusActive
Last updated in NPPESJun 18, 2021
Details
- NPI
- 1033788674
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Ann Edurese
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2021
- Certification date
- Jun 18, 2021
- Last updated
- Jun 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | NY | Yes |
Practice location
1545 Atlantic AveBrooklyn, NY 11213-1122
Phone 718-613-4444
Mailing address
1274 1st Ave Apt 13New York, NY 10065-5621
Phone 330-612-8110
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