Individual
DR. AMR M. ELSISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 ARNOT RD, HORSEHEADS, NY 14845-8533
(607) 739-3874
(607) 739-3632
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225142-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019448310001
—
PA
05
—
02351022
—
NY
01
—
110244494
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
02/21/2006
Last updated
03/05/2021
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