Provider Demographics
NPI:1770925877
Name:MAU, ELAINE (MSC MD MBA FRCSC)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:
Last Name:MAU
Suffix:
Gender:F
Credentials:MSC MD MBA FRCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 DUBLIN ST. APT 2
Mailing Address - Street 2:
Mailing Address - City:MACHIAS
Mailing Address - State:ME
Mailing Address - Zip Code:04654
Mailing Address - Country:US
Mailing Address - Phone:646-477-5333
Mailing Address - Fax:
Practice Address - Street 1:301 EAST 17TH STREET
Practice Address - Street 2:HOSPITAL FOR JOINT DISEASE, DEPT OF ORTHOPAEDIC SURGERY
Practice Address - City:MANHATTAN
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-598-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD20007207X00000X
NY60271387207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery