Individual
DR. ELIJAH DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 68TH ST # 331, NEW YORK, NY 10065
(212) 746-4071
(212) 746-4734
Mailing address
525 E 68TH ST # 331, NEW YORK, NY 10065-4870
(212) 746-4071
(212) 746-4734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
293672
NY
208M00000X
Hospitalist Physician
Primary
293672
NY
Other
Enumeration date
03/28/2015
Last updated
07/31/2018
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