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General NPI Number Information
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NPI Number | 1801968912
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Entity Type | Organization
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Legal Business Name | ALEXANDER S ELFENBEIN PHYSICIAN PC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 40 EAST MERRICK ROAD STE 104
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City | VALLEY STREAM
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State | NY
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Zip | 11580-5947
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Country | US
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Telephone | 516-568-2121
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Fax | 516-568-0426
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Provider Business Mailing Address
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Address Line | 40 EAST MERRICK ROAD STE 104
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City | VALLEY STREAM
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State | NY
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Zip | 11580-5947
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Country | US
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Telephone | 516-568-2121
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Fax | 516-568-0426
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER S. ELFENBEIN
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Credential | MD
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Telephone | 516-568-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1637251
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 1637251
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 1637251
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License Number State | NY
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