Elena Maydan
MOHS-Micrographic Surgeon
54 New Hyde Park Rd
Garden City
, New York 11530-3909
Elena Maydan
MOHS-Micrographic Surgeon
54 New Hyde Park Rd
Garden City
, New York 11530-3909
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Elena Maydan
- 2600 Netherland Ave
- Bronx, NY
- Zip : 10463-4801
- Phone :
Second Address
- Elena Maydan
- 54 New Hyde Park Rd
- Garden City, NY
- Zip : 11530-3909
- Fax : (516) 488-3449
- Phone : (516) 488-1313
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 221520 | NY |
National Provider Identifier
| NPI | 1033145255 |
|---|---|
| Provider Name | Elena Maydan |
| First Address | Bronx, NY 10463-4801 |
| Second Address | Garden City, NY 11530-3909 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 29/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I05100 | (02) | NY |
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.