Search › New York › 1223S0112X
Edious Elliot, DMD
NPI 1639434665 · on the registry since 2012
Practice
- Address
- 8240 Cazenovia Rd Ste 60
Manlius, NY 13104 - Phone
- (315) 692-6546
- Fax
- (315) 692-0449
- Organisation at this address
- Immediate Medical Care Of Cny, Pc
Fayetteville-Manlius Oral Surgery, P.CInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
207L00000X - Licence states on file
- NJ, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York