Ellenberg, Gilad

Ellenberg, Gilad is an individual health care provider with primary practice located at 8601 Homelawn St , Jamaica NY 11432-2635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ellenberg, Gilad can be contacted via phone (718) 739-0355.

Contact Information

Primary practice address
8601 Homelawn St Jamaica NY 11432-2635
Phone: (718) 739-0355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 127287-1 New York

Profile Details

NPI number 1538104427
LBN Legal business name Ellenberg, Gilad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1538104427 NPPES
New York MEDICAID 00467827

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