Organization
NORTHEAST PSYCHIATRY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANZOOR ELAHI MD (MEMBER)
(330) 576-3048
Entity
Organization
Contact information
Practice address
3610 W MARKET ST STE 103, FAIRLAWN, OH 44333-9301
(330) 576-3048
(234) 466-8025
Mailing address
3610 W MARKET ST STE 103, FAIRLAWN, OH 44333-9301
(330) 576-3048
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0383096
—
OH
Enumeration date
11/20/2019
Last updated
03/09/2024
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