Ellsworth, Grant
Ellsworth, Grant is an individual health care provider with primary practice located at 53 W 23Rd St Fl 6 , New York NY 10010-4237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Ellsworth, Grant can be contacted via phone (212) 746-7204.Contact Information
Primary practice address
53 W 23Rd St Fl 6
New York NY 10010-4237
Phone: (212) 746-7204
Fax: (212) 746-7203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 291619 | New York |
Profile Details
| NPI number | 1730455866 |
|---|---|
| LBN Legal business name | Ellsworth, Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2012 |
| Last updated | Mar 13th, 2018 - about 7 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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