Individual
ELENA MARYAMCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
327 E 64TH ST DEPT OF, NEW YORK, NY 10065-6704
(305) 699-1529
Mailing address
888 MAIN ST APT 236, NEW YORK, NY 10044-0215
(305) 699-1529
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
1347433
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
25MA11075400
NJ
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
279227
MA
Other
Enumeration date
07/07/2006
Last updated
05/24/2021
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