IndividualActive
Elan Goldwyn
NPI 1376717405 · Orthopaedic Trauma Physician · Flushing, NY
Provider details
- NPI number
- 1376717405
- Entity type
- Individual
- Primary specialty
- Orthopaedic Trauma PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 239702 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-1442
Approximate (ZIP-level) locationGet directions
Mailing address
5645 Main St
Flushing, NY 11355-5045
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2022-11-15
- Certified
- 2022-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.