Individual
DR. IRA ELIASOPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 E 73RD ST, SUITE 501, NEW YORK, NY 10021-3556
(212) 988-4800
(212) 472-6883
Mailing address
133 EAST 73RD STREET, SUITE 501, NEW YORK, NY 10021-3556
(212) 988-4800
(212) 472-6883
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
074243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NS4178
OXFORD
NY
Enumeration date
08/11/2006
Last updated
07/08/2007
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