Individual
ELISA A MCDONAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W CARVER ST, SUITE 1, HUNTINGTON, NY 11743-3303
(631) 421-0020
(631) 421-0688
Mailing address
200 W CARVER ST, SUITE 1, HUNTINGTON, NY 11743-3303
(631) 421-0020
(631) 421-0688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
185552
NY
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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