Elderville Group Inc

Specialty details in registry · Jamaica, NY

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At a glance

14803 Hillside Ave Ste A, Jamaica, NY 11435-3330

NPPES record updated Jul 21, 2022. Public records can lag behind changes at a practice.

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Practice location

14803 Hillside Ave Ste A
Jamaica, NY 11435-3330
Professional details: NPI, taxonomy & registry record
NPI1245758838
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253Z00000X
Enumeration date
Sep 2, 2017
Record updated
Jul 21, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

Specialty details in registry

261QA0600X

Specialty details in registry

332U00000X

Specialty details in registry

344600000X

Specialty details in registry

347C00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

14803 Hillside Ave Ste A
Jamaica, NY 11435-3330
Phone
(917) 842-9742
Mailing address
74 ROCKHILL RD

ROSLYN HTS, NY 11577
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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