| Natarajan Elangovan Physician, P.c. | |
|
1756 Richmond Ave Staten Island NY 10314-3902 | |
| (718) 477-5670 | |
| Not Available |
| Full Name | Natarajan Elangovan Physician, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1756 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Judy Marie Gerdts (OFFICE MANAGER) |
| Authorized Official Contact | 7184775670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natarajan Elangovan Physician, P.c. 1756 Richmond Ave Staten Island NY 10314-3902 Ph: (718) 477-5670 | Natarajan Elangovan Physician, P.c. 1756 Richmond Ave Staten Island NY 10314-3902 Ph: (718) 477-5670 |
| NPI Number | 1396364436 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396364436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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