Dr. Jennifer Ellis
Cardiothoracic Vascular Surgeon
530 1st Ave Ste 9v
New York
, New York 10016-6402
Dr. Jennifer Ellis
Cardiothoracic Vascular Surgeon
530 1st Ave Ste 9v
New York
, New York 10016-6402
(212) 263-2042
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jennifer Ellis
- 530 1st Ave Ste 9v
- New York, NY
- Zip : 10016-6402
- Fax : (212) 263-2042
- Phone : (212) 263-0692
Second Address
- Dr. Jennifer Ellis
- 530 1st Ave Ste 9v
- New York, NY
- Zip : 10016-6402
- Fax : (212) 263-2042
- Phone : (212) 263-0692
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD33788 | DC |
National Provider Identifier
| NPI | 1063436129 |
|---|---|
| Provider Name | Dr. Jennifer Ellis |
| First Address | New York, NY 10016-6402 |
| Second Address | New York, NY 10016-6402 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 29/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 039911400 | (05) | DC |
| H09403 | (02) | DC |
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.