Ellis, Gloria

Ellis, Gloria is an sole proprietor health care provider with primary practice located at 146 Central Park W , New York NY 10023-2005. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Ellis, Gloria can be contacted via phone (917) 562-9116.

Contact Information

Primary practice address
146 Central Park W New York NY 10023-2005
Phone: (917) 562-9116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 186168-1 New York
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 186168-1 New York
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 186168-1 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 186168-1 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 186168 New York

Profile Details

NPI number 1316113608
LBN Legal business name Ellis, Gloria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2008
Last updated Oct 26th, 2017 - about 7 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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