Doctor Name: | DR. WILLIAM ELTON |
NPI Number: | 1265756902 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 262849 |
Business Practice Address: | 3231 E Tremont Ave Bronx, NY - 104615707 |
Business Phone Number: | 7185975800 |
Business Fax Number: | |
Mailing Address: | 700 Ft Washington Ave, #5j NEW YORK |
State: | NY |
Postal Code: | 100403704 |
Phone Number: | 3479786526 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2010 |
NPI Last Update Date: | 04/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 262849 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |