Individual
AMIN R ELASHKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 RESERVE RD STE A4, DANBURY, CT 06810-5267
(203) 794-1979
Mailing address
117 MARYS AVE, SUITE 101, KINGSTON, NY 12401-5849
(845) 339-1515
(845) 331-1996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
197149
NY
207R00000X
Internal Medicine Physician
Primary
76537
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01821190
—
NY
01
—
197149
LICENSE
NY
01
—
76537
LICENSE
CT
Enumeration date
01/17/2006
Last updated
01/29/2024
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