Healthcare Provider Details

I. General information

NPI: 1003012899
Provider Name (Legal Business Name): NATALIA ELKIN, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 BEACH 19TH ST STE 3
FAR ROCKAWAY NY
11691-3767
US

IV. Provider business mailing address

131 BEACH 19TH ST STE 3
FAR ROCKAWAY NY
11691-3767
US

V. Phone/Fax

Practice location:
  • Phone: 718-506-7898
  • Fax: 718-327-3505
Mailing address:
  • Phone: 718-506-7898
  • Fax: 347-312-4720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number225704
License Number StateNY

VIII. Authorized Official

Name: NATALIA ELKIN
Title or Position: PRESIDENT
Credential:
Phone: 718-506-7898