Poleshuck, Ellen L

Poleshuck, Ellen L is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0002. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Poleshuck, Ellen L can be contacted via phone (585) 275-2691.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0002
Phone: (585) 275-2691
Fax: (585) 242-8707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 014029 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 14029 New York
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 014029 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 014029 New York

Profile Details

NPI number 1356385926
LBN Legal business name Poleshuck, Ellen L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 5th, 2023 - about last year

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 1356385926 NPPES
New York MEDICAID 0298561

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