Provider Demographics
NPI:1053661769
Name:ELLIOT, JILL ILANE (DVM)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:ILANE
Last Name:ELLIOT
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 WEST 18 STREET
Mailing Address - Street 2:C/O HEART OF CHELSEA ANIMAL HOSPITAL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:212-741-4000
Mailing Address - Fax:646-863-9119
Practice Address - Street 1:257 WEST 18 STREET
Practice Address - Street 2:C/O HEART OF CHELSEA ANIMAL HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-741-4000
Practice Address - Fax:646-863-9119
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY#007257-1174M00000X
NJ#29V100587400174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian