814 Undercliff Medical Pc

LBN: 814 Undercliff Medical Pc
814 Undercliff Medical Pc is an health care organization with primary practice located at 814 Undercliff Ave , Edgewater NJ 07020-1521. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. 814 Undercliff Medical Pc can be contacted via phone (646) 644-2481, or through Etelzon, Ilana via phone (646) 644-2481.

Contact Information

Primary practice address
814 Undercliff Ave Edgewater NJ 07020-1521
Phone: (646) 644-2481
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Etelzon, Ilana Doctor of Medicine (MD)
Phone: (646) 644-2481

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1598495442
LBN Legal business name 814 Undercliff Medical Pc
DBA Doing business as
Authorized official Etelzon, Ilana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2022
Last updated Jun 14th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers