Blank, Ellen
Blank, Ellen is an individual health care provider with primary practice located at 1122 Richmond Road , Staten Island NY 10304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Blank, Ellen can be contacted via phone (718) 987-3300.Contact Information
Primary practice address
1122 Richmond Road
Staten Island NY 10304
Phone: (718) 987-3300
Fax: (718) 987-3451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA03293600 | New York |
Profile Details
| NPI number | 1033282900 |
|---|---|
| LBN Legal business name | Blank, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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