Provider Demographics
NPI:1710941661
Name:ELUARD, ALAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:
Last Name:ELUARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-1094
Mailing Address - Country:US
Mailing Address - Phone:716-875-4500
Mailing Address - Fax:
Practice Address - Street 1:3800 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-1094
Practice Address - Country:US
Practice Address - Phone:716-875-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-15
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137063207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00658044Medicaid
080181Medicare ID - Type Unspecified
NY00658044Medicaid