Dr. Ellis N Sisskind
Gynecologist
1384 Victory Blvd
Staten Island
, New York 10301
Dr. Ellis N Sisskind
Gynecologist
1384 Victory Blvd
Staten Island
, New York 10301
(732) 946-2512
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Ellis N Sisskind
- 103 Scarborough Way
- Marlboro, NJ
- Zip : 07746
- Fax : (732) 946-2512
- Phone : (732) 946-2512
Second Address
- Dr. Ellis N Sisskind
- 1384 Victory Blvd
- Staten Island, NY
- Zip : 10301
- Fax : (718) 273-9589
- Phone : (718) 981-5900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 84328-1 | NY |
National Provider Identifier
| NPI | 1013139849 |
|---|---|
| Provider Name | Dr. Ellis N Sisskind |
| First Address | Marlboro, NJ 07746 |
| Second Address | Staten Island, NY 10301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00126958 | (05) | NY |
| BO4621 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.