ELEANOR PARK

FORT DRUM, NY
NPI1538852017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-05-31
Last Update Date2024-07-16
Business Address
ELEANOR PARK
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602-2603
Phone number: 315-772-2778
Mailing Address
ELEANOR PARK
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602-2603
Phone number: