Individual provider · Type 1 NPI

Ellen Kagan, NP

Pediatric Nurse Practitioner · Elmhurst, NY

NPI number 1629147590 Active

Practice location

80th St & 41st Ave
Elmhurst, NY 11373

Fax (718) 334-5958

Mailing address

7901 Broadway, Managed Care, D1-01
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF380284 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1629147590

Ellen Kagan, NP's National Provider Identifier is 1629147590, issued on Nov 7, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Elmhurst, NY. The record was last updated on Jul 8, 2007.