Individual
DR. ELENI J DILOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4174
(631) 224-8560
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4174
(631) 224-8560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
232946
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023SA1
BLUE CROSS BLUE SHIELD
NY
05
—
02582332
—
NY
01
—
02585332
RAILROAD MEDICARE
NY
Enumeration date
06/15/2005
Last updated
07/27/2007
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