# ELITE GYNECOLOGY, LLC

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

## Provider details

- **NPI number:** 1255875183
- **Authorized official:** DR. NOREEN KAMAL-MOSTAFAVI MD (MD)
- **Authorized official phone:** (201) 978-7146

## Contact information

- **Practice address:** 1033 US HIGHWAY 46E SUITE 105, CLIFTON, NJ 07013
- **Practice address phone:** (718) 370-2222
- **Practice address fax:** (718) 494-2897
- **Mailing address:** 14 BLEEKER PLACE, STATEN ISLAND, NY 10314
- **Mailing address phone:** (201) 978-7146
- **Mailing address fax:** (718) 494-2897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA0958200 | NJ | Yes |

## Other

- **Enumeration date:** 12/12/2016
- **Last updated:** 09/20/2018