Doctor Name: | JULIE A ELSIGAN |
NPI Number: | 1154335834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 005893 |
Business Practice Address: | 135 N Union St Blue Bird Square Olean, NY - 147602736 |
Business Phone Number: | 7163757500 |
Business Fax Number: | 7167016853 |
Mailing Address: | 135 N Union St, Blue Bird Square OLEAN |
State: | NY |
Postal Code: | 147602736 |
Phone Number: | 7163757500 |
Fax Number: | 7167016853 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 005893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |