Individual
ELINA KERZUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
154 N 7TH ST, BROOKLYN, NY 11249-2910
(718) 414-2013
(718) 414-2015
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
277432
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03951333
—
NY
Enumeration date
04/28/2011
Last updated
12/06/2019
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