ETHELWOLDO ELIAZO

JAMAICA, NY
NPI1588794820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: NY  130797)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
ETHELWOLDO ELIAZO MD
15211 89TH AVE
JAMAICA, NY 11432-3730
Phone number: 718-558-2275
Mailing Address
ETHELWOLDO ELIAZO MD
15211 89TH AVE
JAMAICA, NY 11432-3730
Phone number:
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