NPI

Brian Elliano

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2021-04-15
Last updated
2026-05-19

Specialties

Licenses

License RI
PT03374

Location

Practice location
131b Pitman St
City
Providence RI
Postal code
02906-5112
Phone
(401) 230-1126

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

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