Ellstein, Jerry
Ellstein, Jerry is an individual health care provider with primary practice located at 166 E Main St , Huntington NY 11743-2948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Ellstein, Jerry can be contacted via phone (631) 427-4263.Contact Information
Primary practice address
166 E Main St
Huntington NY 11743-2948
Phone: (631) 427-4263
Fax: (631) 427-4279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 136138 | New York |
Profile Details
| NPI number | 1366480675 |
|---|---|
| LBN Legal business name | Ellstein, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Feb 21st, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366480675 | NPPES |
| New York | Other | 136138 | LICENSE |
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