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Individual

DR. ELIAS PUROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2285 VICTORY BLVD, STATEN ISLAND, NY 10314-6625
(718) 761-9319
(718) 698-7746
Mailing address
96 JOSEPH AVE, STATEN ISLAND, NY 10314-5056
(718) 698-9746

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
119659
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00352598
NY
Enumeration date
10/10/2006
Last updated
07/08/2007
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