33D1045888 CLIA NUMBER - MARC J ELKOWITZ, MD, PC

Laboratory Demographics

CLIA Number: 33D1045888

Facility Name: MARC J ELKOWITZ, MD, PC

Facility Address:
107 NORTHERN BOULEVARD, SUITE 203
GREAT NECK, NY
ZIP 11021
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Facility Phone Number: 516 773-9200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952478729

Taxonomy: 2082S0105X - Plastic Surgery
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

CLIA Record

Field Name	Field Value
CLIA Number	33D1045888
LAB Type	Physician Office
Facility Name	MARC J ELKOWITZ, MD, PC
Street	107 NORTHERN BOULEVARD, SUITE 203
City	GREAT NECK
State	NY
ZIP	11021
Phone	516 773-9200
CertificateType	4
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024