Individual
MS. MARIA ELIADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8 MEDICAL DRIVE, PORT JEFFERSON STATION, NY 11776
(631) 928-8585
(631) 928-8861
Mailing address
8 MEDICAL DR, PORT JEFFERSON STATION, NY 11776-1601
(631) 928-8585
(631) 509-0334
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
044157
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02693474
—
NY
Enumeration date
02/05/2007
Last updated
11/11/2025
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