Individual
DR. STEPHEN MICHAEL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
(631) 376-3420
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
321549
NY
Other
Enumeration date
04/17/2019
Last updated
05/24/2023
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