Basic Information
| Provider Information | |||||||||
| NPI: | 1356439285 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARCHELSKA | ||||||||
| FirstName: | ELZBIETA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12206 POWELLS COVE BLVD | ||||||||
| Address2: | B | ||||||||
| City: | COLLEGE POINT | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113561245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183211708 | ||||||||
| FaxNumber: | 7183211708 | ||||||||
| Practice Location | |||||||||
| Address1: | 7425 GRAND AVE | ||||||||
| Address2: | |||||||||
| City: | ELMHURST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113734126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7188032273 | ||||||||
| FaxNumber: | 7188032272 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2006 | ||||||||
| LastUpdateDate: | 12/16/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/16/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 203262 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 242846 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.