Individual
DR. IMMANUEL ELBAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1165 YORK AVE, NEW YORK, NY 10065-7917
(646) 962-3205
Mailing address
325 E 77TH ST APT 6H, NEW YORK, NY 10075-2258
(646) 552-6979
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
340137
NY
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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