SEBASTINE I ELENDU

CHEYENNE, WY
NPI1073536074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: SC  32334)
Additional Taxonomies207R00000X Internal Medicine
(Licence: LA  199938)
207R00000X Internal Medicine
(Licence: SC  32334)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: SC  32334)
Enumeration Date2006-07-25
Last Update Date2015-05-20
Business Address
-- SEBASTINE I ELENDU MD
2301 HOUSE AVE SUITE 201
CHEYENNE, WY 82001-3176
Phone number: 307-638-7757
Mailing Address
-- SEBASTINE I ELENDU MD
1559 208TH PL
BAYSIDE, NY 11360-1121
Phone number: