Provider Demographics
NPI:1831961598
Name:ELCHARFA, ADNAN
Entity type:Individual
Prefix:
First Name:ADNAN
Middle Name:
Last Name:ELCHARFA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 WEED AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-4924
Mailing Address - Country:US
Mailing Address - Phone:347-476-4833
Mailing Address - Fax:
Practice Address - Street 1:121 WEED AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-4924
Practice Address - Country:US
Practice Address - Phone:347-476-4833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-26
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant