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Organization

ALEXANDER S ELFENBEIN PHYSICIAN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER S. ELFENBEIN MD (OWNER)
(516) 568-2121
Entity
Organization

Contact information

Practice address
40 EAST MERRICK ROAD, STE 104, VALLEY STREAM, NY 11580-5947
(516) 568-2121
(516) 568-0426
Mailing address
40 EAST MERRICK ROAD, STE 104, VALLEY STREAM, NY 11580-5947
(516) 568-2121
(516) 568-0426

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1637251
NY
207RC0000X
Cardiovascular Disease Physician
Primary
1637251
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
1637251
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01063809
NY
Enumeration date
11/14/2006
Last updated
09/11/2025
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