Individual provider · Type 1 NPI

Ethelwoldo Eliazo, MD

Diagnostic Radiology Physician · Jamaica, NY

NPI number 1588794820 Active

Practice location

15211 89th Ave
Jamaica, NY 11432-3730

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X130797 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1588794820

Ethelwoldo Eliazo, MD's National Provider Identifier is 1588794820, issued on Mar 6, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jamaica, NY. The record was last updated on Jul 8, 2007.