Individual
CAROLINA BELEN DE ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
100 HIGHLANDS BLVD # 9, PORT JEFFERSON, NY 11777-2320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27165
WV
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
294801
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/31/2013
Last updated
11/07/2018
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