Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | F430916-1 | NY |
NPI | 1003280900 |
---|---|
Provider Name | Elsey Rajesh |
First Address | Peekskill, NY 10566-2859 |
Second Address | Cortlandt Manor, NY 10567-4144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2015 |
Last Update Date | 04/02/2016 |