Individual provider · Type 1 NPI

Elise Moinzadeh, PA

Surgical Physician Assistant · Saratoga Springs, NY

NPI number 1477044766 Active

Practice location

5 Care Ln
Saratoga Springs, NY 12866-8623

Call (518) 489-2663 Map

Fax (518) 689-6881

Mailing address

121 Everett Rd
Albany, NY 12205-1474

Other practice locations

  • 121 Everett Rd Ste 100, Albany, NY 12205 · (518) 453-9088

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400X022253 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1477044766

Elise Moinzadeh, PA's National Provider Identifier is 1477044766, issued on May 23, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Saratoga Springs, NY. The record was last updated on May 28, 2025.