# ILANA ETELZON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104428796
- **Authorized official:** ILANA ETELZON (MD)
- **Authorized official phone:** (718) 682-3686

## Contact information

- **Practice address:** 37 W END AVE PH 1, BROOKLYN, NY 11235-4870
- **Practice address phone:** (973) 954-4055
- **Practice address fax:** (718) 682-3658
- **Mailing address:** 35 WEST END AVENUE, SUITE 1, BROOKLYN, NY 11235
- **Mailing address phone:** (718) 682-3686
- **Mailing address fax:** (718) 682-3658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 09/29/2026