Individual
ELISHEVA FLINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1256
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7887
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
201650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01708369
—
NY
Enumeration date
06/27/2006
Last updated
12/11/2012
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