Dehaan, Elliot Neil

Dehaan, Elliot Neil is an sole proprietor health care provider with primary practice located at 401 N Middletown Rd Attn: Dr. Elliot Dehaan, Building 190/Floor 4, Pearl River NY 10965. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Dehaan, Elliot Neil can be contacted via phone (646) 285-5372.

Contact Information

Primary practice address
401 N Middletown Rd Attn: Dr. Elliot Dehaan, Building 190/Floor 4 Pearl River NY 10965
Phone: (646) 285-5372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 247859 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 247859 New York

Profile Details

NPI number 1629270459
LBN Legal business name Dehaan, Elliot Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629270459 NPPES
New York MEDICAID 00695941

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