ELISE INGRAM, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1336650712
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 021853 (NY) |
| Physician Assistant - Medical | 363AM0700X | Yes | - |
Frequently Asked Questions
NPI 1336650712 is the National Provider Identifier for ELISE INGRAM, PA-C, a Physician Assistant - Medical provider located in New York, NY. This NPI was enumerated on October 12, 2017.
ELISE INGRAM, PA-C practices at 156 WILLIAM ST RM 303, New York, NY 10038.
Quick Facts
- NPI
- 1336650712
- Type
- Individual
- Enumerated
- Oct 12, 2017
- Last Updated
- Nov 17, 2024
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