NPI 1891331591 · live from the CMS NPI Registry
Elif Ajredini
Physician Assistant, Medical in Waterbury, CT. National Provider Identifier 1891331591, active.
NPI record
| NPI | 1891331591 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 60 Westwood Ave, Waterbury, CT 06708 |
| Practice phone | 203-574-5997 |
| Mailing address | 21 Stieg Ave, Staten Island, NY 10308 |
| Enumerated | November 18, 2019 |
| Last updated | November 28, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 6170 (CT) |
| Physician Assistant | 363A00000X | 026558 (NY) |
| Physician Assistant, Medical primary | 363AM0700X | 6710 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.