Kravis, Elissa H
Kravis, Elissa H is an individual health care provider with primary practice located at 712 Main St , Islip NY 11751-3620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kravis, Elissa H can be contacted via phone (631) 666-3951.Contact Information
Primary practice address
712 Main St
Islip NY 11751-3620
Phone: (631) 666-3951
Fax: (631) 666-3994
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 308873 | New York |
Profile Details
NPI number | 1194200238 |
---|---|
LBN Legal business name | Kravis, Elissa H |
Credentials | Adult Nurse Practitioner (ANP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2018 |
Last updated | Sep 25th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194200238 | NPPES |
New York | Other | 308873 | LICENSE REGISTRATION |
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