Provider Demographics
NPI:1194910745
Name:MCELHINNEY, JULIE ELAINE (LPN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ELAINE
Last Name:MCELHINNEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ELAINE
Other - Last Name:MCELHINNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:5633 SAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NY
Mailing Address - Zip Code:13478-3225
Mailing Address - Country:US
Mailing Address - Phone:315-361-1601
Mailing Address - Fax:
Practice Address - Street 1:5633 SAND HILL RD
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NY
Practice Address - Zip Code:13478-3225
Practice Address - Country:US
Practice Address - Phone:315-361-1601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252632-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02001398Medicaid