| NPI | 1023325511 |
|---|---|
| Doing Business As | ELMHURST AVE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | THOMAS HON Clinical Administrator 718-424-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 142973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 242926) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2012-02-14 |