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NPI Code Detail

MEDICARE: DR. ESPIRIDION PECAOCO ELIO JR. M.D.

MEDICARE: DR. ESPIRIDION PECAOCO ELIO JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician189615NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235176066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ESPIRIDION PECAOCO ELIO JR. M.D.
Provider Business Mailing Address
First Line : 181 CATHERINE AVE
Second Line :
City : FRANKLIN SQUARE
State : NY
Zip : 11010-1417
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 BROOKDALE PLZ
Second Line : SUITE 1204
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number : 718-240-5304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 07/24/2019

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