Provider Demographics
NPI:1316264674
Name:DHRAMI, ELONA (MD)
Entity type:Individual
Prefix:DR
First Name:ELONA
Middle Name:
Last Name:DHRAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELONA
Other - Middle Name:
Other - Last Name:DHRAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:635 W 165TH ST
Mailing Address - Street 2:ROOM 218
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3724
Mailing Address - Country:US
Mailing Address - Phone:212-305-9535
Mailing Address - Fax:212-305-9485
Practice Address - Street 1:2221 BOSTON RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-9005
Practice Address - Country:US
Practice Address - Phone:718-798-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY277893207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program