Individual provider · Type 1 NPI

Jillian Marie Elvidge

Specialist · Centerport, NY

NPI number 1760117394 Active

Practice location

102 Little Neck Rd
Centerport, NY 11721-1619

Call (631) 546-8374 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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 1760117394

Jillian Marie Elvidge's National Provider Identifier is 1760117394, issued on Jul 18, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Centerport, NY. The record was last updated on Jul 18, 2022.