Physician Compare National (NPI:1285024026)

HEALTHCARE PROVIDER: IGOR ELMAN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285024026
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981912375
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151105001673
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELMAN
	Individual professional last name
Provider First Name	IGOR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HOSPITALIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPITALIST
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7 MEDICAL PARK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	C
	Group Practice or individual's line 2 address
City	POMONA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	109703562
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330182
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST FRANCIS HOSPITAL - THE HEART CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y