Jason A. Ellis M.D.

NPI 1629244884 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1629244884
Gender Male
Enumeration Date 05/07/2008
Last Updated 02/23/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
710 W 168TH ST
NEUROLOGICAL INSTITUTE OF NEW YORK, RM 5-560
NEW YORK NY, 10032-3726, US
Phone (617) 256-7072
Fax
Business Location
710 WEST 168TH STREET
NEUROLOGICAL INSTITUTE OF NEW YORK, RM 5-560
NEW YORK NY, 10032, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jason A. Ellis M.D. NPI is 1629244884, taxonomy code is 390200000X Jason A. Ellis M.D. physically located at 710 W 168th St, New York NY, 10032-3726. NPI Number Jason A. Ellis M.D. has the Individual type.

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1629244884 NPI number is provided on an as is basis without warranty of any kind. 1629244884 is maintained by the National Plan & Provider Enumeration System. The contents of Jason A. Ellis M.D. are for informational purposes only.