Ethelwoldo Eliazo in Jamaica - Diagnostic Radiology
Ethelwoldo Eliazo - NPI 1588794820
Ethelwoldo Eliazo is a Diagnostic Radiology in Jamaica, New York. Ethelwoldo Eliazo practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Ethelwoldo Eliazo is 1588794820. The last update date is 2007-07-08.
Ethelwoldo Eliazo's current location address is 15211 89th Ave, Jamaica, New York. You can contact this provider via phone number 7185582275. The mailing address for Ethelwoldo Eliazo is 15211 89th Ave, Jamaica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethelwoldo Eliazo |
|---|---|
| Address | 15211 89th Ave, Jamaica, New York |
| Phone Number | 7185582275 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588794820 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15211 89th Ave |
|---|---|
| City | Jamaica |
| State | New York (NY) |
| Post Code | 114323730 |
| Phone Number | 7185582275 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 130797 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1010746 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ethelwoldo Eliazo by the Centers for Medicare & Medicaid Services?
The Ethelwoldo Eliazo has been assigned the NPI (National Provider Identifier) 1588794820 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Ethelwoldo Eliazo's facilities are geographically located?
The facilities of Ethelwoldo Eliazo are physically situated at the following location: 15211 89Th Ave, Jamaica, NY, 114323730.
What is Ethelwoldo Eliazo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ethelwoldo Eliazo is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Ethelwoldo Eliazo receive the assignment of its 1588794820 from the Centers for Medicare & Medicaid Services?
The Ethelwoldo Eliazo was issued its 1588794820 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information pertaining to Ethelwoldo Eliazo most recently updated or revised?
The details related to Ethelwoldo Eliazo, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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