Individual
DR. KRISTIN R ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5353
Mailing address
166 E 61ST ST, APT 9F, NEW YORK, NY 10065-8509
(917) 407-7310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
248369
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248369
NYS LICENSE NUMBER
NY
Enumeration date
06/15/2007
Last updated
09/27/2011
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