Provider Demographics
NPI:1619141249
Name:MCELHANEY, JAVELLE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:JAVELLE
Middle Name:
Last Name:MCELHANEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15710 RIVERSIDE DR W
Mailing Address - Street 2:APT #15P
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-7032
Mailing Address - Country:US
Mailing Address - Phone:718-918-5124
Mailing Address - Fax:
Practice Address - Street 1:15710 RIVERSIDE DR W
Practice Address - Street 2:APT #15P
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-7032
Practice Address - Country:US
Practice Address - Phone:718-918-5124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY505484367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered