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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELAINE KAZAKIS

Active Sole Proprietor

ELAINE KAZAKIS is a Clinical Nurse Specialist healthcare provider located in FAYETTEVILLE, New York. NPI 1124266424 is currently active in the NPPES registry. Verify at CMS.

Clinical Nurse Specialist · FAYETTEVILLE, NY

Registration Details

NPI Number
1124266424
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2009 (17.584190863425 yrs)
Last Updated
Jan 26, 2009
License
435398-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
4208 MEDICAL CENTER DR
FAYETTEVILLE, NY, 130666642
Browse NY providers · Browse ZIP 13066
Phone
3153297984
Primary Specialty
Clinical Nurse Specialist
364S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.