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Contact Information

ELIJAH S MIN, MD
31 MAIN RD STE 2
RIVERHEAD, NY11901-1953
 Phone: 631-369-8539
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Transplant Surgery

204F00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ELIJAH S MIN · (Male)

NPI # 1265745376
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2010
Last updated 09/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 284575
  • NY License # AS2383278
Hospital affiliation(s)
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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