Ellis, Jeffrey Ira

Ellis, Jeffrey Ira is an individual health care provider with primary practice located at 358 S Oyster Bay Rd , Hicksville NY 11801-3508. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Ellis, Jeffrey Ira can be contacted via phone (516) 822-7546.

Contact Information

Primary practice address
358 S Oyster Bay Rd Hicksville NY 11801-3508
Phone: (516) 822-7546
Fax: (516) 937-7546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 234545 New York
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 234545 New York
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 234545 New York
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 234545-01 New York

Profile Details

NPI number 1285748293
LBN Legal business name Ellis, Jeffrey Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Nov 2nd, 2021 - about 3 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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