Provider Demographics
NPI:1518013739
Name:ELIAS, RONY TANIOS (MD)
Entity Type:Individual
Prefix:DR
First Name:RONY
Middle Name:TANIOS
Last Name:ELIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RONY
Other - Middle Name:TANIOS
Other - Last Name:ABDALLAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1305 YORK AVE
Mailing Address - Street 2:CRMI, 7 FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5663
Mailing Address - Country:US
Mailing Address - Phone:646-962-3764
Mailing Address - Fax:
Practice Address - Street 1:1305 YORK AVE
Practice Address - Street 2:CRMI, 7 FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5663
Practice Address - Country:US
Practice Address - Phone:646-962-3764
Practice Address - Fax:646-962-0392
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116015909174400000X
NY248786174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist