Elysha Rand Grauman in Staten Island - Physician Assistant

Elysha Rand Grauman - NPI 1073718714

Elysha Rand Grauman is a Physician Assistant in Staten Island, New York. Elysha Rand Grauman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Elysha Rand Grauman is 1073718714. The last update date is 2011-02-17.

Elysha Rand Grauman's current location address is 475 Seaview Ave, Staten Island, New York. You can contact this provider via phone number 7182269158 and fax number 7182266964. The mailing address for Elysha Rand Grauman is 475 Seaview Ave, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Elysha Rand Grauman
Address 475 Seaview Ave, Staten Island, New York
Phone Number 7182269158
Fax Number 7182266964
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1073718714
Provider Enumeration Date 2007-06-20
Last Updated Date 2011-02-17

Provider Mailing Address Detail

Address 475 Seaview Ave
City Staten Island
State New York (NY)
Post Code 10305
Phone Number 7182269158
Fax Number 7182266964

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 10433
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2928527 NY --

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FAQs about Elysha Rand Grauman

What is the unique identification code assigned to Elysha Rand Grauman by the Centers for Medicare & Medicaid Services?

The Elysha Rand Grauman has been issued the NPI (National Provider Identifier) 1073718714. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Elysha Rand Grauman's facilities are situated?

The facilities of Elysha Rand Grauman are physically located at the following address: 475 Seaview Ave, Staten Island, NY, 10305.

What is Elysha Rand Grauman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Elysha Rand Grauman is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1073718714 to Elysha Rand Grauman?

The Elysha Rand Grauman received its 1073718714 assignment from the Centers for Medicare & Medicaid Services on 2007-06-20.

When was the Elysha Rand Grauman's information last updated?

The Elysha Rand Grauman's information was last updated on 2011-02-17.

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