Ellsweig, Bruce Alan

Ellsweig, Bruce Alan is an individual health care provider with primary practice located at 61 Emerald Pl , Rock Hill NY 12775-6049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ellsweig, Bruce Alan can be contacted via phone (845) 794-6999.

Contact Information

Primary practice address
61 Emerald Pl Rock Hill NY 12775-6049
Phone: (845) 794-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X MD017256E Pennsylvania
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 133757 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 133757 New York

Profile Details

NPI number 1134173669
LBN Legal business name Ellsweig, Bruce Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Aug 12th, 2020 - 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 1134173669 NPPES
New York MEDICAID 03778338

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