MEDICARE: DR. ELLIOTT FUHRER MD

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
1	207RG0100X	Gastroenterology Physician	160239	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801812490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELLIOTT FUHRER MD

Provider Business Mailing Address
First Line	:	1332 44TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2108
Country	:	US
Telephone Number	:	718-972-9115
Fax Number	:	718-972-4461

Provider Business Practice Location Address
First Line	:	1332 44TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2108
Country	:	US
Telephone Number	:	718-972-9115
Fax Number	:	718-972-4461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	02/03/2014

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