Individual
ELYSE PATRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 N OCEAN AVE, PATCHOGUE, NY 11772-2004
(631) 289-1919
Mailing address
101 ABBEY ST, MASSAPEQUA PARK, NY 11762-3426
(516) 468-2374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058795
NY
122300000X
Dentist
Primary
DEN4432
ME
Other
Enumeration date
07/01/2015
Last updated
03/02/2026
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