Ellis, Scott J.

Ellis, Scott J. is an individual health care provider with primary practice located at 535 E 70Th St , New York NY 10021-4823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Ellis, Scott J. can be contacted via phone (646) 797-8305.

Contact Information

Primary practice address
535 E 70Th St New York NY 10021-4823
Phone: (646) 797-8305
Fax: (646) 797-8515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 230125 New York
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 230125 New York

Profile Details

NPI number 1336359587
LBN Legal business name Ellis, Scott J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Mar 31st, 2021 - about 4 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 1336359587 NPPES
New York MEDICAID 02859992

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