MRS. Stacey Anne Elconin

NPI #1205609963 in Somers, New York

Provider Information

NPI Number: 1205609963
Entity Type: Individual
Name: MRS. Stacey Anne Elconin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Nov 3, 2023
Last Updated: Nov 3, 2023

Practice Location

Address: 79 MITCHELL RD
City: Somers
State: New York
ZIP Code: 10589-1801
Phone: (914) 276-7654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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