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Dr. Eugene Ellis, MD
Specialist in Brooklyn, New York
NPI 1194721142

Eugene Ellis is a Specialist based in Brooklyn, NY. Eugene Ellis practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Eugene Ellis is 1194721142 and holds a License No. 136939-1 (New York).

The current practice location address for Eugene Ellis is 967 48Th St, Brooklyn, NY and can be reached out via phone at 718-283-3000 and via fax at 718-238-6818.

Location: 967 48Th St, Brooklyn, NY, 11219-2919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194721142
Provider Name
Eugene Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
967 48Th St, Brooklyn, NY, 11219-2919
Phone Number
718-283-3000
Fax Number
718-238-6818
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01862853 05 NY
institution
Provider Business Practice Location Address Details
Address
967 48Th St
City
Brooklyn
State
New York
Zip
11219-2919
Phone Number
718-283-3000
Fax Number
718-238-6818
person
Provider Business Mailing Address Details
Address
967 48Th St
City
Brooklyn
State
New York
Zip
11219-2919
Phone Number
718-283-3000
Fax Number
718-238-6818
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
136939-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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