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NPI Code Detail

MEDICARE: MICHEL ELIAS AKL M.D.

MEDICARE:   MICHEL ELIAS AKL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207KA0200XAllergy PhysicianME6071997FL
2207KA0200XAllergy PhysicianMD044201-LPA
3207KA0200XAllergy Physician198486-LNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000523044003OTHERNYOLEAN BC/BS OF WNY
2000523044002OTHERNYJAMESTOW BC/BS WNY
300020526301OTHERNYUNIVERA

General Provider Information

NPI Number : 1154380145
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHEL ELIAS AKL M.D.
Provider Business Mailing Address
First Line : 2626 W STATE ST
Second Line : SUITE 5
City : OLEAN
State : NY
Zip : 14760-1858
Country : US
Telephone Number : 716-373-7440
Fax Number : 716-373-5725
Provider Business Practice Location Address
First Line : 806 S DOUGLAS RD STE 101
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-3157
Country : US
Telephone Number : 305-223-3577
Fax Number : 305-552-7940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 11/13/2019

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