Individual
ELAYNE K. MUSTALISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 E 83RD ST, APT. 4J, NEW YORK, NY 10028-1920
(212) 861-1715
(212) 861-0293
Mailing address
170 E 83RD ST, APT. 4J, NEW YORK, NY 10028-1920
(212) 861-1715
(212) 861-0293
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
099581
NY
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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