Lader, Ellis W

Lader, Ellis W is an individual health care provider with primary practice located at 111 Mary'S Ave Suite 3, Kingston NY 12401-5853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Lader, Ellis W can be contacted via phone (845) 339-3663.

Contact Information

Primary practice address
111 Mary'S Ave Suite 3 Kingston NY 12401-5853
Phone: (845) 339-3663
Fax: (845) 339-3629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 140598 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 140598 New York

Profile Details

NPI number 1538151782
LBN Legal business name Lader, Ellis W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Dec 22nd, 2021 - about 3 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 1538151782 NPPES
New York MEDICAID 00747562

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