Provider Demographics
NPI:1134402993
Name:ELFNER, GALE H (RN)
Entity type:Individual
Prefix:MRS
First Name:GALE
Middle Name:H
Last Name:ELFNER
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 1:970 RTE. 146
Mailing Address - Street 2:SKANO ELEMENTARY SCHOOL
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3683
Mailing Address - Country:US
Mailing Address - Phone:518-881-0561
Mailing Address - Fax:518-881-0404
Practice Address - Street 1:970 RTE. 146
Practice Address - Street 2:SKANO ELEMENTARY SCHOOL
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3683
Practice Address - Country:US
Practice Address - Phone:518-881-0561
Practice Address - Fax:518-881-0404
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY411162-1251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)