Enabosi, Ellis

Enabosi, Ellis is an individual health care provider with primary practice located at 455 Jersey St , Staten Island NY 10301-2976. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Enabosi, Ellis can be contacted via phone (187) 524-5611.

Contact Information

Primary practice address
455 Jersey St Staten Island NY 10301-2976
Phone: (187) 524-5611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 291470 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 291470 New York

Profile Details

NPI number 1669866158
LBN Legal business name Enabosi, Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2015
Last updated Jan 8th, 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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