MICHAEL W. ELICE MD, PLLC (NPI# 1649678780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649678780 |
| Entity Type | Organization |
| Organization Name | MICHAEL W. ELICE MD, PLLC |
| Practice Address |
80 Crossways Park Dr Suite 200 Woodbury NY 11797-2047 |
| Practice Telephone | 5168025028 |
| Practice Fax Number | 5168025027 |
| Mailing Telephone | 5168025028 |
| Mailing Fax Number | 5168025027 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | DR. MICHAEL W. ELICE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5068025028 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
1325791 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
80 CROSSWAYS PARK DR SUITE 200 |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202262 | Lynn Silverstein | Dermatology | 80 Crossways Park Dr, Woodbury, NY 11797-2047 | 2005-06-01 |
| 1821642158 | Hyperbaric Associates of America | Emergency Medicine | 80 Crossways Park Dr, Woodbury, NY 11797-2047 | 2019-07-25 |
| 1831567809 | Aim Integrative Medicine | Pediatrics | 80 Crossways Park Dr, Woodbury, NY 11797-2047 | 2015-09-09 |
| 1982833307 | Mary R O'donnell | Physician Assistant | 80 Crossways Park Dr, Woodbury, NY 11797-2047 | 2009-07-07 |
| 1114099710 | Michael W Elice | Pediatrics | 80 Crossways Park Dr, Suite 200, Woodbury, NY 11797-2047 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194127373 | Aim Integrated Medicine | Allergy & Immunology | 80 Crossways Park Drive, Suite 200, Woodbury, NY 11797 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427668318 | Jackson Heights Allergy& Asthma,pc | Allergy & Immunology | 9317 Roosevelt Ave Fl 2, Jackson Heights, NY 11372-7943 | 2020-08-05 |
| 1689053126 | Basicare Medical PC | Allergy & Immunology | 13631 Roosevelt Ave, Suite 12, Flushing, NY 11354-5509 | 2015-05-28 |
| 1235518648 | Bellrick Medical, P.C. | Allergy & Immunology | 2820 Merrick Rd, Suite C, Bellmore, NY 11710-5733 | 2015-05-19 |
| 1255640181 | Maria- Anna Vastardi | Allergy & Immunology | 9036 7th Ave, Brooklyn, NY 11228-3625 | 2010-09-27 |
| 1528388907 | Harvey Irwin Wolfe | Allergy & Immunology | 17 Hampton Road, C/o Dr Alvin Orlian, Great Neck, NY 11020 | 2010-06-08 |
| 1457599797 | Nicole Aliza Mazer | Allergy & Immunology | 2601 Cpl Kennedy St, Bayside, NY 11360-2452 | 2009-01-24 |
| 1336305390 | Bora V Kim | Allergy & Immunology | 210-33 26th Avenue Ground Level, Bayside, NY 11360-5908 | 2008-07-30 |
| 1205099801 | Paula Anne Brown | Allergy & Immunology | 600 Westage Business Center Drive, Fishkill, NY 12524-2281 | 2008-07-03 |
| 1720256639 | Michael L Lewin Md PC | Allergy & Immunology | 109 E 61st St, New York, NY 10065-8101 | 2008-02-13 |
| 1750580726 | Pauline Fani | Allergy & Immunology | 9 Center Dr, Roslyn, NY 11576-1447 | 2007-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.