# MSSM(ELMHURST)

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

## Provider details

- **NPI number:** 1902198617
- **Authorized official:** SRIDEVI BELLAMKONDA (INTERNAL MEDICINE RESIDENT, PGY-III)
- **Authorized official phone:** (302) 377-4312

## Contact information

- **Practice address:** 8001 BROADWAY, ELMHURST, NY 11373-3160
- **Practice address phone:** (718) 334-2490
- **Mailing address:** 8015 41ST AVE APT 437, ELMHURST, NY 11373-1257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 05/12/2011