Individual
MR. ELCID DILODILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(631) 862-3000
Mailing address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(631) 862-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009578
NY
Other
Enumeration date
03/22/2007
Last updated
02/11/2017
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