Individual provider · Type 1 NPI
Jennifer Elliott
Specialist · Ronkonkoma, NY
NPI number
1083083356
Active
Practice location
463 Ontario St
Ronkonkoma, NY 11779-5109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1083083356
Jennifer Elliott's National Provider Identifier is 1083083356, issued on Sep 17, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Sep 17, 2015.