Elan Luria Goldwaser
Family Doctor - Sports Medicine
1 Pondfield Road 1st Floor
Bronxville
, New York 10708
Elan Luria Goldwaser
Family Doctor - Sports Medicine
1 Pondfield Road 1st Floor
Bronxville
, New York 10708
(212) 305-6193
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Elan Luria Goldwaser
- 622 West 168th Street, Ph-11-1130 Dept. Of Orthopedic Surgery
- New York, NY
- Zip : 10032-5549
- Fax : (212) 305-6193
- Phone : (212) 305-5974
Second Address
- Elan Luria Goldwaser
- 1 Pondfield Road 1st Floor
- Bronxville, NY
- Zip : 10708
- Fax : (914) 787-2246
- Phone : (914) 750-4630
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 289782 | NY |
National Provider Identifier
| NPI | 1215378369 |
|---|---|
| Provider Name | Elan Luria Goldwaser |
| First Address | New York, NY 10032-5549 |
| Second Address | Bronxville, NY 10708 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2013 |
| Last Update Date | 20/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.