Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eilliut Alicea, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639667165

Eilliut Alicea, MD is an Internal Medicine in Brooklyn, New York. Qualified in 2018, 8 years ago. Practices with Southwest Suffolk Medical PC, a 200-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

450 Clarkson Ave Dept OF Internal Medicine
Brooklyn, NY 11203-2012
Phone: (718) 270-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639667165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 30, 2018
Last updated in NPPESApril 30, 2018
Mailing address450 Clarkson Ave, Brooklyn, NY 11203-2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southwest Suffolk Medical Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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