| NPI | 1972278745 |
|---|---|
| Doing Business As | ELITE ORTHOPEDIC |
| Entity Type | Organization |
| Authorized Contact | YELENA SHUBINA Provider 516-307-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2022-09-23 |