Elmore, Elizabeth

Elmore, Elizabeth is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Elmore, Elizabeth can be contacted via phone (585) 922-4247.

Contact Information

Primary practice address
1425 Portland Ave Rochester NY 14621-3001
Fax: (585) 922-4622
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 330524 New York

Profile Details

NPI number 1922046705
LBN Legal business name Elmore, Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922046705 NPPES
New York MEDICAID 02057481

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