Organization
NORTH SHORE LIJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILENA ELNATANOVA (PHYSICIAN ASSISTANT)
(718) 470-7000
Entity
Organization
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7030
(718) 962-6774
Mailing address
270-05 76 TH AVE, NEW HYDE PARK, NY 11040
(718) 470-7030
(718) 962-6774
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
010047
NY
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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