Individual
ELIAS ER-NY WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003-3851
(908) 938-3363
Mailing address
353 E 17TH ST FL 2, NEW YORK, NY 10003-3821
(212) 420-3743
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
289021
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2014
Last updated
05/20/2017
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