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Individual

DR. ELIE BOULOS GEARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
462 1ST AVE FL 12, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
300 E 39TH ST APT 22H, NEW YORK, NY 10016-2214
(216) 644-6444

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
307033
NY
390200000X
Student in an Organized Health Care Education/Training Program
57.247023
OH

Other

Enumeration date
07/11/2019
Last updated
08/18/2022
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