Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 202416 | NY |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 202416 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 202416 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 202416 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 202416 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 202416 | NY |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 202416 | NY |
NPI | 1649356486 |
---|---|
Provider Name | Andrew J Elliott |
First Address | New York, NY 10021-4099 |
Second Address | New York, NY 10021-4099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D50111 | (02) | NY |