Dilos, Eleni J

Dilos, Eleni J is an sole proprietor health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dilos, Eleni J can be contacted via phone (631) 376-4174.

Contact Information

Primary practice address
1000 Montauk Hwy West Islip NY 11795-4927
Phone: (631) 376-4174
Fax: (631) 224-8560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 232946 New York

Profile Details

NPI number 1992700116
LBN Legal business name Dilos, Eleni J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Jul 27th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992700116 NPPES
New York Other 023SA1 BLUE CROSS BLUE SHIELD
New York MEDICAID 02582332 BLUE CROSS BLUE SHIELD
New York Other 02585332 BLUE CROSS BLUE SHIELD

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