Individual
DR. ANDREW ELIMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE, SUITE 2700, HAWTHORNE, NY 10532
(914) 493-2250
(914) 493-2060
Mailing address
19 BRADHURST AVENUE, SUITE 3100N, WMC ADVANCED PHYSICIAN SERVICES, PC, HAWTHORNE, NY 10532
(914) 909-9018
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
189811
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
189811
NY
207VX0000X
Obstetrics Physician
189811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01739940
—
NY
Enumeration date
08/01/2005
Last updated
12/14/2016
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