Individual
DR. ELIZABETH MADDELA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
476 KLONDIKE AVE, STATEN ISLAND, NY 10314-6216
(718) 761-1156
(718) 761-1047
Mailing address
476 KLONDIKE AVE, STATEN ISLAND, NY 10314-6216
(718) 761-1156
(718) 761-1047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155116
NY
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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