Organization
ELITE MEDICAL NY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER N CHACON MD (PRESIDENT)
(718) 651-7013
Entity
Organization
Contact information
Practice address
8703 GRAND AVE, ELMHURST, NY 11373-4416
(718) 651-7013
(718) 651-7409
Mailing address
8703 GRAND AVE, ELMHURST, NY 11373-4416
(718) 651-7013
(718) 651-7409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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