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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194200238 NPPES
New York Other 308873 LICENSE REGISTRATION

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