National Provider Identifier Database

MERY ELASHVILI, MD – NPI #1396756607
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

MERY ELASHVILI, MD
366 BROADWAY
BUILDING #5
AMITYVILLE, NY11701-2711
Phone: 631-841-4890
Fax: 631-842-0801
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for MERY ELASHVILI

NPI Number 1396756607
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 02/16/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 209281
  • NY Medicaid: 01792938
Hospital affiliation n/a

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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