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Provider Information for 1235323049

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DR. WILLIAM GEORGE ELIADES DDS

Gender: MALE

Individual NPI: 1235323049

Calendar   Last Updated:  2007-09-05
  Certification Date: 

Details

Name Value
NPI 1235323049
Enumeration Date 2007-09-05
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 4049 167TH ST
FLUSHING, NY 11358-2628
United States

Phone: 718-445-5610 | Fax: 718-886-8446
View Map External Link
Primary Practice Address 4049 167TH ST
FLUSHING, NY 11358-2628
United States

Phone: 718-445-5610 | Fax: 718-886-8446
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NY 037540