# ELEMAM PHYSICIAN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245432285
- **Authorized official:** AHMED ELEMAM MD (PRESIDENT)
- **Authorized official phone:** (631) 491-9122

## Contact information

- **Practice address:** 1 WHISPERING CT, DIX HILLS, NY 11746-8008
- **Practice address phone:** (631) 491-9122
- **Mailing address:** 1A WHISPERING COURT, DIX HILLS, NY 11746
- **Mailing address phone:** (631) 491-9122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 199870 | NY | Yes |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 11/28/2007