Healthcare Provider Details

I. General information

NPI: 1336080563
Provider Name (Legal Business Name): ELEA CHRISTINE SUTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELEA DAVISON

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 ATLANTIC AVE
BROOKLYN NY
11201-5501
US

IV. Provider business mailing address

44 REMSEN ST APT 5
BROOKLYN NY
11201-7116
US

V. Phone/Fax

Practice location:
  • Phone: 646-754-7900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number359186
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: