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Individual

MR. JAMES ELIE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
135WEST50THSTREET6THFLOOR, NY, NY 10020
(212) 582-9100
Mailing address
988 E 180TH ST APT 14J, BRONX, NY 10460-2383
(646) 812-5470

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
416999068
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175T00000X
NY
Enumeration date
11/26/2021
Last updated
11/26/2021
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