Provider Demographics
NPI:1972921385
Name:BRICENO BRITO, EUDYS ELENA (MD)
Entity Type:Individual
Prefix:
First Name:EUDYS
Middle Name:ELENA
Last Name:BRICENO BRITO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2201 HEMPSTEAD TURNPIKE NASSAU HEALTH CARE CORPORATION
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS,18TH FLOOR, OFFICE # 1872
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554
Mailing Address - Country:US
Mailing Address - Phone:516-572-6177
Mailing Address - Fax:
Practice Address - Street 1:2201 HEMPSTEAD TURNPIKE NASSAU HEALTH CARE CORPORATION
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS,18TH FLOOR, OFFICE # 1872
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554
Practice Address - Country:US
Practice Address - Phone:516-572-6177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS68052080P0208X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program