Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 297900 | NY |
NPI | 1033553979 |
---|---|
Provider Name | Christopher James Elder |
First Address | New York, NY 10032-3726 |
Second Address | New York, NY 10032-3726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2013 |
Last Update Date | 22/05/2019 |