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Organization

IE MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ILANA ETELZON MD (PRESIDENT)
(646) 644-2481
Entity
Organization

Contact information

Practice address
35 W END AVE, BROOKLYN, NY 11235-4869
(908) 906-7813
Mailing address
3 SOMERSET LN # 500, EDGEWATER, NJ 07020-2419
(908) 906-7813

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
05/29/2025
Last updated
05/30/2025
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