Provider Demographics
NPI:1235155904
Name:RAMIREZDEARELLANO, ELIZABETH A (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:RAMIREZDEARELLANO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:185 RYKOWSKI LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-4019
Mailing Address - Country:US
Mailing Address - Phone:845-692-0030
Mailing Address - Fax:845-692-0037
Practice Address - Street 1:707 E MAIN ST
Practice Address - Street 2:RADIOLOGIC ASSOCIATES, PC
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2650
Practice Address - Country:US
Practice Address - Phone:845-333-1258
Practice Address - Fax:845-343-0617
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2011-08-05
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Provider Licenses
StateLicense IDTaxonomies
NY1514002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01523537Medicaid
NY01523537Medicaid
NY93J201Medicare ID - Type Unspecified