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

Individual provider Diagnostic Radiology Physician · NPI 1588794820

Ethelwoldo Eliazo, MD is a Diagnostic Radiology Physician in Jamaica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

15211 89th Ave
Jamaica, NY 11432-3730
Phone: (718) 558-2275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 130797 (NY)

Record details

NPI number1588794820
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 8, 2007

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