Individual
DR. MICHAEL W ELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 CROSSWAYS PARK DR, SUITE 200, WOODBURY, NY 11797-2047
(516) 802-5028
(516) 802-5027
Mailing address
80 CROSSWAYS PARK DR, SUITE 200, WOODBURY, NY 11797-2047
(516) 802-5028
(516) 802-5027
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
132579
NY
Other
Enumeration date
11/15/2006
Last updated
07/09/2012
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