| Igor Elman Physician PC | |
|
7 Medical Park Dr # C Pomona NY 10970-3562 | |
| (845) 362-1169 | |
| (845) 362-0111 |
| Full Name | Igor Elman Physician PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 7 Medical Park Dr # C, Pomona, New York |
| Authorized Official Name and Position | Igor Elman (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9176074265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Igor Elman Physician PC 7 Medical Park Dr # C Pomona NY 10970-3562 Ph: (845) 362-1169 | Igor Elman Physician PC 7 Medical Park Dr # C Pomona NY 10970-3562 Ph: (845) 362-1169 |
| NPI Number | 1679118392 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Medicare PECOS PAC ID | 2365877420 |
|---|---|
| Medicare Enrollment ID | O20200117000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679118392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Igor Elman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285024026 PECOS PAC ID: 4981912375 Enrollment ID: I20151105001673 |
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