Fine, Elyse S.

Fine, Elyse S. is an individual health care provider with primary practice located at 121 Avenue Of The Americas , New York NY 10013-1510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fine, Elyse S. can be contacted via phone (212) 941-9090.

Contact Information

Primary practice address
121 Avenue Of The Americas New York NY 10013-1510
Phone: (212) 941-9090
Fax: (212) 941-9614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380809-1 New York

Profile Details

NPI number 1629051818
LBN Legal business name Fine, Elyse S.
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 8th, 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 1629051818 NPPES
New York MEDICAID 02359286

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