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General NPI Number Information
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NPI Number | 1124123286
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Entity Type | Organization
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Legal Business Name | ELLIOT BELENKOV PHYSICIAN PC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 178 E 85TH ST 4 FLOOR
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City | NEW YORK
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State | NY
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Zip | 10028-2119
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Country | US
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Telephone | 212-472-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 178 E 85TH ST 4 FLOOR
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City | NEW YORK
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State | NY
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Zip | 10028-2119
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Country | US
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Telephone | 212-472-5500
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. ALLA BELENKOV
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Credential |
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Telephone | 212-472-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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