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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1629051818 | NPPES |
| New York | MEDICAID | 02359286 |
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