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Ellen Pham, MD
Student in an Organized Health Care Education/Training Program in New Hyde Park, New York
NPI 1124648530

Ellen Pham is a Student in an Organized Health Care Education/Training Program based in Flushing, NY. Ellen Pham practices in New Hyde Park, NY and has the professional credentials of MD. The NPI Number for Ellen Pham is 1124648530 and holds a License No. (New York).

The current practice location address for Ellen Pham is 270-05 76Th Avenue, New Hyde Park, NY and can be reached out via phone at 718-470-4475.

Location: 270-05 76Th Avenue, New Hyde Park, NY, 11355-2205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124648530
Provider Name
Ellen Pham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
270-05 76Th Avenue, New Hyde Park, NY, 11355-2205
Phone Number
718-470-4475
Fax Number
Provider Enumeration Date
04/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111631781 01 FLUSHING MEDICAL CENTER
institution
Provider Business Practice Location Address Details
Address
270-05 76Th Avenue
City
New Hyde Park
State
New York
Zip
11040
Phone Number
718-470-4475
Fax Number
person
Provider Business Mailing Address Details
Address
270-05 76Th Avenue
City
New Hyde Park
State
New York
Zip
11040
Phone Number
718-470-4475
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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