Individual
STELLA ELGORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2010
(718) 876-2012
Mailing address
34 JEROME RD, STATEN ISLAND, NY 10305-2410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
264062
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03466328
—
NY
Enumeration date
08/05/2008
Last updated
09/13/2022
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