Dr. Jeffrey Ira Ellis
Dermatologist Procedural Dermatology Pediatric Dermatologist MOHS-Micrographic Surgeon
358 S Oyster Bay Rd
Hicksville
, New York 11801-3508
Dr. Jeffrey Ira Ellis
Dermatologist Procedural Dermatology Pediatric Dermatologist MOHS-Micrographic Surgeon
358 S Oyster Bay Rd
Hicksville
, New York 11801-3508
(516) 937-7546
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Ira Ellis
- 358 S Oyster Bay Rd
- Hicksville, NY
- Zip : 11801-3508
- Fax : (516) 937-7546
- Phone : (516) 822-7546
Second Address
- Dr. Jeffrey Ira Ellis
- 358 S Oyster Bay Rd
- Hicksville, NY
- Zip : 11801-3508
- Fax : (516) 937-7546
- Phone : (516) 822-7546
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 234545 | NY |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 234545 | NY |
| N | 207NP0225X | Pediatric Dermatologist | 234545 | NY |
| Y | 207NS0135X | Procedural Dermatology | 234545-01 | NY |
National Provider Identifier
| NPI | 1285748293 |
|---|---|
| Provider Name | Dr. Jeffrey Ira Ellis |
| First Address | Hicksville, NY 11801-3508 |
| Second Address | Hicksville, NY 11801-3508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2006 |
| Last Update Date | 02/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I72909 | (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.