Individual
DR. ELLIOT JAY RIEGELHAUPT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D..
Contact information
Practice address
755 PARK AVE, NEW YORK, NY 10021-4255
(212) 439-6638
(212) 794-9229
Mailing address
755 PARK AVE, NEW YORK, NY 10021-4255
(212) 439-6638
(212) 794-9229
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
134332
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00767762
—
NY
01
—
68A921
BLUE CROSS BLUE SHIELD
NY
01
—
NS3215
OXFORD HEALTH PLAN
NY
Enumeration date
11/30/2006
Last updated
07/08/2007
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