ALEXANDER S ELFENBEIN PHYSICIAN PC
Osteopathic Medicine at Merrick Rd, Valley Stream, NY

License number
New York 1637251
Category
Osteopathic Medicine
Type
Internal Medicine
License number
New York 1637251
Category
Osteopathic Medicine
Type
Cardiovascular Disease
License number
New York 1637251
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: ALEXANDER S. ELFENBEIN MD
Title: OWNER
Phone: (516) 568-2121
Address
Address
40 EAST Merrick Rd STE 104, Valley Stream, NY 11580
National Provider ID: 1801968912
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALEXANDER S. ELFENBEIN, PHYSICIAN, PC

40 E Merrick Rd, Valley Stream, NY 11580

Status:
Inactive
Inactive reason:
Dissolution
Registration:
May 20, 1999
Inactive since:
Dec 15, 2011
State ID:
2380227
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Alexander S. Elfenbein, 40 E Merrick Rd / SUITE 104, Valley Stream, NY 11580 (Physical)

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