Individual
DR. ELIYAHU SHALOM LADELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 ROUTE 59, SUITE 2, SUFFERN, NY 10901-4913
(845) 368-4260
(845) 368-4265
Mailing address
79 ROUTE 59, SUITE 2, SUFFERN, NY 10901-4913
(845) 368-4260
(845) 368-4265
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
147629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01508525
—
NY
Enumeration date
08/21/2006
Last updated
07/08/2007
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