Ellis, Judith M

Ellis, Judith M is an individual health care provider with primary practice located at 1 Brookdale Plz , Brooklyn NY 11212-3139. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ellis, Judith M can be contacted via phone (718) 240-6225.

Contact Information

Primary practice address
1 Brookdale Plz Brooklyn NY 11212-3139
Phone: (718) 240-6225
Fax: (718) 240-8063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F381716-1 New York

Profile Details

NPI number 1851383939
LBN Legal business name Ellis, Judith M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 18 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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