MEDICARE: ELENA A KING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	119588	NY

General Provider Information

NPI Number	:	1639127905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA A KING MD

Provider Business Mailing Address
First Line	:	3540 82 STREET
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372
Country	:	US
Telephone Number	:	718-565-2323
Fax Number	:

Provider Business Practice Location Address
First Line	:	3540 82 STREET
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372
Country	:	US
Telephone Number	:	718-565-2323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/08/2007

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