Individual
DR. ELLIOT J FAVUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 W 24TH ST, CUCS-THE CHRISTOPHER, NEW YORK, NY 10011-1704
(917) 952-8158
Mailing address
PO BOX 1003, NEW YORK, NY 10276-1003
(917) 952-8158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
231130
NY
Other
Enumeration date
10/18/2008
Last updated
10/18/2008
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