Provider Demographics
NPI:1295984268
Name:MONTILLA MEDRANO, ELILARY (MD)
Entity type:Individual
Prefix:DR
First Name:ELILARY
Middle Name:
Last Name:MONTILLA MEDRANO
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:111 EAST 210 STREET DEPT OF ANESTHESIOLOGY
Mailing Address - Street 2:MONTEFIORE MEDICAL CENTER
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-920-4316
Mailing Address - Fax:718-881-2245
Practice Address - Street 1:111 EAST 210 STREET DEPT OF ANESTHESIOLOGY
Practice Address - Street 2:MONTEFIORE MEDICAL CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-4316
Practice Address - Fax:718-881-2245
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY272055207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology