Healthcare Provider Details

I. General information

NPI: 1821089889
Provider Name (Legal Business Name): ELIN S. KROPP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 ASTORIA BLVD SUITE 220
EAST ELMHURST NY
11370-1131
US

IV. Provider business mailing address

7520 ASTORIA BLVD SUITE 220
EAST ELMHURST NY
11370-1131
US

V. Phone/Fax

Practice location:
  • Phone: 718-888-6960
  • Fax: 718-565-8387
Mailing address:
  • Phone: 718-888-6960
  • Fax: 718-565-8387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number176193
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: