Individual
DR. ELLIOT MICHAEL BELENKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
178 E 85TH ST, 4 FLOOR, NEW YORK, NY 10028-2119
(212) 472-5500
(212) 288-8094
Mailing address
178 E 85TH ST, 4 FLOOR, NEW YORK, NY 10028-2119
(212) 472-5500
(212) 288-8094
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
162523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01064135
—
NY
01
—
EB013E2310
EMPIRE BLUE CROSS
NY
Enumeration date
01/26/2006
Last updated
07/27/2010
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