Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | F347793 | NY |
NPI | 1598337578 |
---|---|
Provider Name | Mrs. Elena Margarita Singleton |
First Address | Germantown, NY 12526-5729 |
Second Address | Germantown, NY 12526-5729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2021 |
Last Update Date | 11/07/2021 |