Provider Demographics
NPI:1952534935
Name:ELITE MEDICAL SERVICES,PLLC
Entity Type:Organization
Organization Name:ELITE MEDICAL SERVICES,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRANNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-277-1803
Mailing Address - Street 1:PO BOX 234658
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-4658
Mailing Address - Country:US
Mailing Address - Phone:631-277-1803
Mailing Address - Fax:631-581-0015
Practice Address - Street 1:220 E 63RD ST
Practice Address - Street 2:LOBBY D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7660
Practice Address - Country:US
Practice Address - Phone:212-308-3088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty