Individual
ELLIOT J PELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 MARCUS AVE, LAKE SUCCESS, NY 11042-1008
(516) 622-6040
Mailing address
2800 MARCUS AVE, LAKE SUCCESS, NY 11042-1008
(516) 622-6040
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
144088
NY
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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