Provider Demographics
NPI:1376565358
Name:ABEMAYOR, ELIE M (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIE
Middle Name:M
Last Name:ABEMAYOR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:190 GOLDENS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2810
Mailing Address - Country:US
Mailing Address - Phone:914-401-8053
Mailing Address - Fax:914-232-3366
Practice Address - Street 1:91 SMITH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2810
Practice Address - Country:US
Practice Address - Phone:914-241-9026
Practice Address - Fax:914-241-1381
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-09-28
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Provider Licenses
StateLicense IDTaxonomies
NY168346207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01242988Medicaid
NY51F711Medicare ID - Type Unspecified
NY01242988Medicaid