Mrs. Ellen Dale, MS
Specialist in Staten Island, New York
1609138122- Practice location
- 2025 Richmond Ave, Staten Island, NY 10314-3937
- Phone
- 718-447-0961
- Fax
- —
- Last updated
- May 18, 2015
Ellen Dale is a Specialist based in Staten Island, NY. Ellen Dale practices in Staten Island, NY and has the professional credentials of MS. The NPI Number for Ellen Dale is 1609138122 and holds a License No. 588976941 (NY). The current practice location address for Ellen Dale is 2025 Richmond Ave, Staten Island, NY 10314-3937 and can be reached out via phone at 718-447-0961.
Provider Profile Details
- NPI Number
- 1609138122
- Provider Name
- Ellen Dale
- Credential
- MS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2025 Richmond Ave, Staten Island, NY 10314-3937
- Phone Number
- 718-447-0961
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 11, 2012
- Last Update Date
- May 18, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2025 Richmond Ave
Staten Island, NY 10314-3937 - City
- Staten Island
- State
- New York
- Zip
- 10314-3937
- Phone Number
- 718-447-0961
Provider Business Mailing Address Details
- Address
- 222 Warwick Ave
Staten Island, NY 10314-4356 - City
- Staten Island
- State
- NY
- Zip
- 10314-4356
- Phone Number
- 718-761-8525
License Information
- License Number
- 588976941
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Mrs. Ellen Dale, MS?
The NPI number of Mrs. Ellen Dale, MS is 1609138122. It was assigned on June 11, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Ellen Dale, MS?
Mrs. Ellen Dale, MS is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 588976941.
Where does Mrs. Ellen Dale, MS practice?
The practice location is 2025 Richmond Ave, Staten Island, NY 10314-3937. The office can be reached at 718-447-0961 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609138122 directly on the NPPES registry website.