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Contact Information

ELIZABETH B UPHAM, ANP-BC
16707 29TH AVE
FLUSHING, NY11358-1501
 Phone: 917-650-5017
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELIZABETH B UPHAM · (Female)

NPI Number 1285906768
Status Active
Credentials ANP-BC (Adult Nurse Practitioner - Board Certified)
Entity Individual
Enumeration date 01/31/2012
Last updated 05/07/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # F305957-1
Hospital affiliation(s)
  • SAMARITAN HOSPITAL - (Acute Care)
    2215 BURDETT AVENUE
    TROY, NY 12180
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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