Active NPIIndividual provider

Eleanore E Egan, PA-C

Physician Assistant in Brooklyn, New York

NPI Number1639504921
Practice location
40 Flatbush Avenue Ext, Brooklyn, NY 11201-2903
Fax
—
Last updated
March 5, 2025

Eleanore Elizabeth Egan is a Physician Assistant based in Brooklyn, NY. Eleanore Elizabeth Egan practices in Brooklyn, NY and has the professional credentials of PA-C. The NPI Number for Eleanore Elizabeth Egan is 1639504921 and holds a License No. PA031144 (DC). The current practice location address for Eleanore Elizabeth Egan is 40 Flatbush Avenue Ext, Brooklyn, NY 11201-2903 and can be reached out via phone at 212-271-7200.

Provider Profile Details

NPI Number
1639504921
Provider Name
Eleanore Elizabeth Egan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
40 Flatbush Avenue Ext, Brooklyn, NY 11201-2903
Phone Number
212-271-7200
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 5, 2013
Last Update Date
March 5, 2025
Certification Date
March 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903
Zip
11201-2903
Phone Number
212-271-7200
Brooklyn, NY 11201Get directions →

Provider Business Mailing Address Details

Address
40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903
City
Brooklyn
State
NY
Zip
11201-2903

License Information

License Number (1)
PA031144
License State (1)
DC
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
026234
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eleanore E Egan, PA-C?

The NPI number of Eleanore E Egan, PA-C is 1639504921. It was assigned on September 5, 2013 and is currently active in the NPPES registry.

What is the specialty of Eleanore E Egan, PA-C?

Eleanore E Egan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in DC under license number PA031144.

Where does Eleanore E Egan, PA-C practice?

The practice location is 40 Flatbush Avenue Ext, Brooklyn, NY 11201-2903. The office can be reached at 212-271-7200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639504921 directly on the NPPES registry website.

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