Moinzadeh, Elise

Moinzadeh, Elise is an individual health care provider with primary practice located at 5 Care Ln , Saratoga Springs NY 12866-8623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Moinzadeh, Elise can be contacted via phone (518) 489-2663.

Contact Information

Primary practice address
5 Care Ln Saratoga Springs NY 12866-8623
Phone: (518) 489-2663
Fax: (518) 689-6881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 022253 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1477044766
LBN Legal business name Moinzadeh, Elise
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2018
Last updated Dec 7th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477044766 NPPES
New York Other 022253 NY LICENSE
New York MEDICAID 05348292 NY LICENSE

Popular Providers