National Provider Identifier
Elaine Rose Abdulky, PA
Elaine Rose Abdulky, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 339-0625.
Profile Overview
- NPI
- 1396335881
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 19, 2021
- Last Updated
- January 19, 2021
Practice Location
- 1020 Craft RD Ste C
- Ithaca, NY 14850-1016
Phone: (607) 339-0625
Mailing Address
- 721 Hanshaw RD
- Ithaca, NY 14850-1542
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1396335881
- Entity Type
- Individual
- Last Name
- Abdulky
- First Name
- Elaine
- Middle Name
- Rose
- Credential
- PA
- Mailing Street Address
- 721 Hanshaw RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1542
- Mailing Country
- US
- Mailing Phone
- (607) 342-3512
- Practice Street Address
- 1020 Craft RD Ste C
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1016
- Practice Country
- US
- Practice Phone
- (607) 339-0625
- Enumeration Date
- January 19, 2021
- Last Updated
- January 19, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)