Individual
DR. DMITRIY ELKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3647
(718) 471-7010
(718) 337-1548
Mailing address
1831 BAYRIDGE AVENUR, BROOKLYN, NY 11204
(718) 347-3120
(718) 337-1548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2214181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02171617
—
NY
Enumeration date
05/08/2006
Last updated
09/30/2010
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