Ellen Blank MD

NPI 1033282900 - Dermatology - 207N00000X

NPI Details
NPI 1033282900
Gender Female
Enumeration Date 11/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1122 RICHMOND ROAD
STATEN ISLAND NY, 10304, US
Phone (718) 987-3300
Fax (718) 987-3451
Business Location
333 AVENUE C
BAYONNE NJ, 07002, US
Phone (201) 858-4800
Fax (201) 858-3005
Toxanomy
Taxonomy Code 207N00000X
License State New York
License Number 25MA03293600
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According to our database, Ellen Blank MD NPI is 1033282900, taxonomy code is 207N00000X and license number is 25MA03293600, license state is located at New York. Ellen Blank MD physically located at 1122 Richmond Road, Staten Island NY, 10304. NPI Number Ellen Blank MD has the Individual type.

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1033282900 NPI number is provided on an as is basis without warranty of any kind. 1033282900 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Blank MD are for informational purposes only.