Provider Demographics
NPI:1356439285
Name:MARCHELSKA, ELZBIETA (MD)
Entity Type:Individual
Prefix:
First Name:ELZBIETA
Middle Name:
Last Name:MARCHELSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12206 POWELLS COVE BLVD
Mailing Address - Street 2:B
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-1245
Mailing Address - Country:US
Mailing Address - Phone:718-321-1708
Mailing Address - Fax:718-321-1708
Practice Address - Street 1:7425 GRAND AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4126
Practice Address - Country:US
Practice Address - Phone:718-803-2273
Practice Address - Fax:718-803-2272
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203262207R00000X
NY242846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine