Provider Demographics
NPI:1073040630
Name:ELEFANT, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:ELEFANT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:19 BRADHURST AVE STE 2900
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2193
Mailing Address - Country:US
Mailing Address - Phone:914-313-3937
Mailing Address - Fax:914-745-7618
Practice Address - Street 1:19 BRADHURST AVE STE 2900
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2193
Practice Address - Country:US
Practice Address - Phone:914-313-3937
Practice Address - Fax:914-745-7618
Is Sole Proprietor?:No
Enumeration Date:2017-05-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY311058207WX0109X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0109XAllopathic & Osteopathic PhysiciansOphthalmologyNeuro-ophthalmology