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NPI Code Detail

MEDICARE: MS. KATHRYN LYNN ELSHOFF N.P.

MEDICARE:  MS. KATHRYN LYNN ELSHOFF  N.P.
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
1363LF0000XFamily Nurse PractitionerF333930NY

General Provider Information

NPI Number : 1629105432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN LYNN ELSHOFF N.P.
Provider Business Mailing Address
First Line : 9805 67TH AVE
Second Line : 9L
City : REGO PARK
State : NY
Zip : 11374-4969
Country : US
Telephone Number : 718-897-9435
Fax Number :
Provider Business Practice Location Address
First Line : 3080 ATLANTIC AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-1268
Country : US
Telephone Number : 718-647-0240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/08/2007

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