Provider Demographics
NPI:1851465561
Name:DUBOYS, ELLIOT B (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:B
Last Name:DUBOYS
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 WEST JERICHO TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11743-6037
Mailing Address - Country:US
Mailing Address - Phone:631-423-1000
Mailing Address - Fax:631-271-6900
Practice Address - Street 1:864 WEST JERICHO TURNPIKE
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11743-6037
Practice Address - Country:US
Practice Address - Phone:631-423-1000
Practice Address - Fax:631-271-6900
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY141634208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY26D691Medicare PIN
B11792Medicare UPIN