ELISABETH SUPP

NEW YORK, NY
NPI1023775798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  347779)
Enumeration Date2021-11-17
Last Update Date2021-11-17
Business Address
ELISABETH SUPP FNP-BC
335 MALCOLM X BLVD
NEW YORK, NY 10027-3703
Phone number: 646-585-1515
Mailing Address
ELISABETH SUPP FNP-BC
565 W 169TH ST APT 4A
NEW YORK, NY 10032-3909
Phone number: 917-673-5204