Great Neck Ny Medical PLLC
Clinic/Center in Great Neck, NY. Organization (NPI-2).
NPI number1386595932
StatusActive
Last updated in NPPESFeb 9, 2026
Details
- NPI
- 1386595932
- Entity type
- Organization (NPI-2)
- Legal business name
- Great Neck Ny Medical PLLC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2026
- Certification date
- Feb 8, 2026
- Last updated
- Feb 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
255 Great Neck Rd Apt 502Great Neck, NY 11021-3362
Phone 516-660-6344
Mailing address
255 Great Neck Rd Apt 502Great Neck, NY 11021-3362
Phone 516-660-6344
Authorized official
Maekal Elyasi
Member
5166606344
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