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Contact Information

MERY ELASHVILI, MD
366 BROADWAY
BUILDING #5
AMITYVILLE, NY11701-2711
 Phone: 631-841-4890
 Fax: 631-842-0801
 Website: http://www.burke.org
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MERY ELASHVILI · (Female)

NPI Number 1396756607
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 02/16/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 209281
  • NY Medicaid 01792938
Hospital affiliation(s)
  • NASSAU UNIVERSITY MEDICAL CENTER - (Acute Care)
    2201 HEMPSTEAD TURNPIKE
    EAST MEADOW, NY 11554
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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