Individual
DR. ELLIOT NEIL DEHAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N MIDDLETOWN RD, ATTN: DR. ELLIOT DEHAAN, BUILDING 190/FLOOR 4, PEARL RIVER, NY 10965
(646) 285-5372
Mailing address
401 N MIDDLETOWN RD, ATTN: DR. ELLIOT DEHAAN, BUILDING 190/FLOOR 4, PEARL RIVER, NY 10965
(646) 285-5372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247859
NY
207RI0200X
Infectious Disease Physician
Primary
247859
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
06/04/2007
Last updated
07/21/2022
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