Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elmhurst Medical Provider Inc

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1790114726

Elmhurst Medical Provider Inc is a Geriatric Medicine (Internal Medicine) Physician in Elmhurst, New York. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8708 Justice Ave
Elmhurst, NY 11373-4575
Phone: (347) 924-9530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1790114726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Perry Starer — Md · (347) 924-9530
NPI enumeratedNovember 12, 2013
Last updated in NPPESNovember 12, 2013
Mailing address8708 Justice Ave, Elmhurst, NY 11373-4575

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