- Practice location
- 506 6TH St, Brooklyn, NY 11215-3609
- Phone
- 718-780-7700
- Fax
- —
- Last updated
- September 20, 2019
Walid M Elzomor is a Physician Assistant, Surgical based in Brooklyn, NY. Walid M Elzomor practices in Brooklyn, NY and has the professional credentials of PA-C. The NPI Number for Walid M Elzomor is 1255374930 and holds a License No. 25MP00140500 (NJ). The current practice location address for Walid M Elzomor is 506 6TH St, Brooklyn, NY 11215-3609 and can be reached out via phone at 718-780-7700.
Provider Profile Details
- NPI Number
- 1255374930
- Provider Name
- Walid M Elzomor
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 506 6TH St, Brooklyn, NY 11215-3609
- Phone Number
- 718-780-7700
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 13, 2006
- Last Update Date
- September 20, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 506 6TH St
Brooklyn, NY 11215-3609 - City
- Brooklyn
- State
- New York
- Zip
- 11215-3609
- Phone Number
- 718-780-7700
Provider Business Mailing Address Details
- Address
- 309 Wedgewood Dr
Paramus, NJ 07652 - City
- Paramus
- State
- NJ
- Zip
- 07652
- Phone Number
- 201-483-3008
License Information
- License Number (1)
- 25MP00140500
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X · Primary
- License Number (2)
- 010232
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Walid M Elzomor, PA-C?
The NPI number of Mr. Walid M Elzomor, PA-C is 1255374930. It was assigned on June 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Walid M Elzomor, PA-C?
Mr. Walid M Elzomor, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00140500.
Where does Mr. Walid M Elzomor, PA-C practice?
The practice location is 506 6TH St, Brooklyn, NY 11215-3609. The office can be reached at 718-780-7700 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255374930 directly on the NPPES registry website.