Trevisani, Elaine Marie

Trevisani, Elaine Marie is an individual health care provider with primary practice located at 110 Business Park Dr , Utica NY 13502-6302. 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. Trevisani, Elaine Marie can be contacted via phone (315) 624-7000.

Contact Information

Primary practice address
110 Business Park Dr Utica NY 13502-6302
Phone: (315) 624-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F301774-1 New York

Profile Details

NPI number 1508856675
LBN Legal business name Trevisani, Elaine Marie
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated May 5th, 2011 - about 15 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 1508856675 NPPES
New York MEDICAID 02642244

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