Individual
KEVIN BRADFORD ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE OFC 716C, NEW YORK, NY 10065-6007
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
299220
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
04/23/2015
Last updated
05/03/2021
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