Provider Demographics
NPI:1073190518
Name:HAMZIC, ELENA (RN)
Entity Type:Individual
Prefix:MISS
First Name:ELENA
Middle Name:
Last Name:HAMZIC
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 YORK ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-3929
Mailing Address - Country:US
Mailing Address - Phone:315-266-1072
Mailing Address - Fax:315-266-1073
Practice Address - Street 1:929 YORK ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-3929
Practice Address - Country:US
Practice Address - Phone:315-266-1072
Practice Address - Fax:315-266-1073
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY688883163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health