Individual provider · Type 1 NPI

Elise Marie Ingram, PA-C

Medical Physician Assistant · New York, NY

NPI number 1336650712 Active

Practice location

156 William St Rm 303
New York, NY 10038-5307

Call (888) 803-3370 Map

Mailing address

1001 West St
Carthage, NY 13619-9776

Other practice locations

  • 3130 N Swan Rd, Tucson, AZ 85712-1227 · (315) 941-8588
  • 3130 N Swan Rd, Tucson, AZ 85712-1227 · (315) 941-8588
  • 3 Bridge St, Carthage, NY 13619-1360 · (315) 493-3300

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X021853 (NY)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1336650712

Elise Marie Ingram, PA-C's National Provider Identifier is 1336650712, issued on Oct 12, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Nov 17, 2024.