Dehaan, Elliot Neil
Dehaan, Elliot Neil is an sole proprietor health care provider with primary practice located at 401 N Middletown Rd Attn: Dr. Elliot Dehaan, Building 190/Floor 4, Pearl River NY 10965. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Dehaan, Elliot Neil can be contacted via phone (646) 285-5372.Contact Information
Primary practice address
401 N Middletown Rd Attn: Dr. Elliot Dehaan, Building 190/Floor 4
Pearl River NY 10965
Phone: (646) 285-5372
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 247859 | New York |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 247859 | New York |
Profile Details
| NPI number | 1629270459 |
|---|---|
| LBN Legal business name | Dehaan, Elliot Neil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629270459 | NPPES |
| New York | MEDICAID | 00695941 |
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