Individual provider · Type 1 NPI

Eline Sully, PA-C

Surgical Physician Assistant · Bronxville, NY

NPI number 1396406039 Active

Practice location

55 Palmer Ave
Bronxville, NY 10708-3403

Call (914) 787-5000 Map

Mailing address

153 Birch Brook Rd
Bronxville, NY 10708-2021

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1396406039

Eline Sully, PA-C's National Provider Identifier is 1396406039, issued on Jan 5, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronxville, NY. The record was last updated on Jan 5, 2022.