Stella Elgort in Staten Island - Diagnostic Radiology

Stella Elgort - NPI 1073779468

Stella Elgort is a Diagnostic Radiology in Staten Island, New York. Stella Elgort practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Stella Elgort is 1073779468. The last update date is 2022-09-13.

Stella Elgort's current location address is 360 Bard Ave, Staten Island, New York. You can contact this provider via phone number 7188762010 and fax number 7188762012. The mailing address for Stella Elgort is 360 Bard Ave, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Stella Elgort
Address 360 Bard Ave, Staten Island, New York
Phone Number 7188762010
Fax Number 7188762012
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1073779468
Provider Enumeration Date 2008-08-05
Last Updated Date 2022-09-13

Provider Mailing Address Detail

Address 360 Bard Ave
City Staten Island
State New York (NY)
Post Code 103101666
Phone Number 7188762010
Fax Number 7188762012

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 264062
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3466328 NY --

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FAQs about Stella Elgort

What is the unique identifier code issued to Stella Elgort by the Centers for Medicare & Medicaid Services?

The Stella Elgort has been assigned the NPI (National Provider Identifier) 1073779468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Stella Elgort's physical address?

The Stella Elgort is physically located at 360 Bard Ave, in the city of Staten Island, NY, with the postal code 103101666.

What is the Stella Elgort's area of specialization and corresponding taxonomy classification?

The Stella Elgort's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date did the Stella Elgort receive its 1073779468 assignment from the Centers for Medicare & Medicaid Services?

The Stella Elgort was assigned its 1073779468 by the Centers for Medicare & Medicaid Services on 2008-08-05.

When was the Stella Elgort's information last updated?

The Stella Elgort's information was last updated on 2022-09-13.

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