Ocfemia, Ellene Conanan

Ocfemia, Ellene Conanan is an individual health care provider with primary practice located at 6865 Fresh Pond Rd , Ridgewood NY 11385-5263. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ocfemia, Ellene Conanan can be contacted via phone (171) 836-6083.

Contact Information

Primary practice address
6865 Fresh Pond Rd Ridgewood NY 11385-5263
Phone: (171) 836-6083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 018032 New York

Profile Details

NPI number 1336103936
LBN Legal business name Ocfemia, Ellene Conanan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336103936 NPPES
New York MEDICAID 02713519

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