Jennifer Elliott
Specialist in Ronkonkoma, NY. Individual provider (NPI-1).
NPI number1083083356
StatusActive
Last updated in NPPESSep 17, 2015
Details
- NPI
- 1083083356
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Elliott
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2015
- Last updated
- Sep 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
463 Ontario StRonkonkoma, NY 11779-5109
Phone 631-220-4855
Mailing address
463 Ontario StRonkonkoma, NY 11779-5109
Phone 631-220-4855
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All 112 Specialist providers in Ronkonkoma · All 866 providers in Ronkonkoma
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