Individual
STEVEN MARC ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(212) 342-4749
(201) 816-8812
Mailing address
PO BOX 27036, NEW YORK, NY 10087-7036
(212) 342-4749
(201) 816-8812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
44570
NJ
2086S0129X
Vascular Surgery Physician
Primary
1452341
NY
2086S0129X
Vascular Surgery Physician
MA44570
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
467171
MEDICARE NY
NY
Enumeration date
05/19/2006
Last updated
08/21/2013
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