Kagan, Ellen

Kagan, Ellen is an individual health care provider with primary practice located at 80Th St & 41St Ave , Elmhurst NY 11373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kagan, Ellen can be contacted via phone (718) 334-3025.

Contact Information

Primary practice address
80Th St & 41St Ave Elmhurst NY 11373
Phone: (718) 334-3025
Fax: (718) 334-5958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380284 New York

Profile Details

NPI number 1629147590
LBN Legal business name Kagan, Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1629147590 NPPES
New York MEDICAID 00246075

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