Individual
DR. ELI JOHN NASRALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 AMSTERDAM AVE, TRAVERS 201A, NEW YORK, NY 10025-1716
(212) 523-3144
(212) 523-7494
Mailing address
PO BOX 95000-2392, PHILADELPHIA, PA 19195-2392
(212) 523-7621
(212) 523-7494
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
219162
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02110887
—
NY
Enumeration date
12/27/2005
Last updated
08/25/2014
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