Elite Laser and Medical Cosmetics

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

200906 Issued in NY

Legal business name

ELITE LASER AND MEDICAL COSMETICS

Practice address

2209 Merrick Rd
Suite 100
Merrick, NY 11566-4786

Phone

(516) 371-5800

Fax

(516) 371-3712

NPI assigned

Oct 7, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Belfiore, DO

Title

Medical Director

Phone

(516) 371-5800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1699000745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 MERRICK RD",
            "address_2": "SUITE 100",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664786",
            "telephone_number": "516-371-5800",
            "fax_number": "516-371-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 MERRICK RD",
            "address_2": "SUITE 100",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664786",
            "telephone_number": "516-371-5800",
            "fax_number": "516-371-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE LASER AND MEDICAL COSMETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "BELFIORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-371-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "200906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Merrick, NY
• Providers in Merrick, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.