Athanail, Ellen M

Athanail, Ellen M is an sole proprietor health care provider with primary practice located at 268 Bay Ridge Pkwy Suite #1A, Brooklyn NY 11209-2452. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Athanail, Ellen M can be contacted via phone (718) 921-5191.

Contact Information

Primary practice address
268 Bay Ridge Pkwy Suite #1A Brooklyn NY 11209-2452
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X0059321 New York

Profile Details

NPI number 1164423901
LBN Legal business name Athanail, Ellen M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Aug 10th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164423901 NPPES
New York Other 11-3023392 EMPIRE BLUE CROSS
New York Other 11-3023392 EMPIRE BLUE CROSS
New York Other 456269 EMPIRE BLUE CROSS
New York Other 11-3023392 EMPIRE BLUE CROSS
New York Other 11-3023392 EMPIRE BLUE CROSS
New York Other 0740341 EMPIRE BLUE CROSS
New York Other P414897 EMPIRE BLUE CROSS
New York Other 11-3023392 EMPIRE BLUE CROSS

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