Ellis, Jennifer

Ellis, Jennifer is an individual health care provider with primary practice located at 530 1St Ave Ste 9V , New York NY 10016-6402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Ellis, Jennifer can be contacted via phone (212) 263-0692.

Contact Information

Primary practice address
530 1St Ave Ste 9V New York NY 10016-6402
Phone: (212) 263-0692
Fax: (212) 263-2042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD33788 District of Columbia

Profile Details

NPI number 1063436129
LBN Legal business name Ellis, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 6th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063436129 NPPES
District of Columbia MEDICAID 039911400

Popular Providers