Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 291169 | NY |
N | 2081S0010X | Sports Medicine | 291169 | NY |
N | 213ES0000X | Sports Medicine | 291169 | NY |
NPI | 1295920239 |
---|---|
Provider Name | Dr. Ellen Kathleen Casey |
First Address | New York, NY 10087-9234 |
Second Address | New York, NY 10021-4823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2007 |
Last Update Date | 17/12/2020 |