Individual
ELAINA CAROLINE KLIMCHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
75-25 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427
(718) 464-7500
Mailing address
85-31 120TH, APT 4D, KEW GARDENS, PA 11415
(585) 733-2200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
281215
NY
2084P0800X
Psychiatry Physician
310129
LA
Other
Enumeration date
11/07/2012
Last updated
11/06/2018
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