Ryan Elie, PA-C

NPI #1457088320 in Fair Lawn, New Jersey

Provider Information

NPI Number: 1457088320
Entity Type: Individual
Name: Ryan Elie, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 2, 2022
Last Updated: Sep 12, 2022

Practice Location

Address: 22-18 BROADWAY
City: Fair Lawn
State: New Jersey
ZIP Code: 07410-3016
Phone: (862) 591-5341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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