Ethelwoldo Eliazo, MD - Radiology in Jamaica, NY

Ethelwoldo Eliazo, MD is a Radiology - Diagnostic Radiology physician based in Jamaica, New York. Ethelwoldo Eliazo is licensed to practice in New York (license number 130797) and his current practice location is 15211 89th Ave, Jamaica, New York. He can be reached at his office (for appointments etc.) via phone at (718) 558-2275.

NPI number for Ethelwoldo Eliazo is 1588794820 and his current mailing address is 15211 89th Ave, Jamaica, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588794820.

Contact Information

Ethelwoldo Eliazo, MD
15211 89th Ave,
Jamaica, NY 11432-3730
(718) 558-2275
Not Available

Map and Direction




Physician's Profile

Full NameEthelwoldo Eliazo
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location15211 89th Ave, Jamaica, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588794820
  • Provider Enumeration Date: 03/06/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ethelwoldo Eliazo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588794820NPI-NPPES
01010746MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 130797 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethelwoldo Eliazo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ethelwoldo Eliazo, MD
15211 89th Ave,
Jamaica, NY 11432-3730

Ph: () -
Ethelwoldo Eliazo, MD
15211 89th Ave,
Jamaica, NY 11432-3730

Ph: (718) 558-2275

Reviews and Comments


Radiology Doctors in Jamaica, NY

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Robert Henry Smith, MD
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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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