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NPI Code Detail

MEDICARE: ELMURA ELISCA

MEDICARE: ELMURA ELISCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseN19641-01NY

General Provider Information

NPI Number : 1396676904
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELMURA ELISCA
Provider Business Mailing Address
First Line : 761 PENNINGTON STREET
Second Line :
City : ELIZABETH
State : NJ
Zip : 07202-1485
Country : US
Telephone Number : 908-587-8212
Fax Number :
Provider Business Practice Location Address
First Line : 89 BARTLETT
Second Line :
City : BROOKLYN
State : NY
Zip : 11206
Country : US
Telephone Number : 718-387-8181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ ELMURA ELISCA ” Practice Location

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