Organization
ELNUNU MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BANBAHJI (MANAGER)
(646) 872-6818
Entity
Organization
Contact information
Practice address
2311 CONEY ISLAND AVE, BROOKLYN, NY 11223-3337
(646) 872-6818
Mailing address
2311 CONEY ISLAND AVE, BROOKLYN, NY 11223-3337
(646) 872-6818
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
249440-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249440-1
LICENSE#
NY
Enumeration date
03/15/2013
Last updated
03/15/2013
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