Ellen Blank
Dermatologist
1122 Richmond Road
Staten Island
, New York 10304
Ellen Blank
Dermatologist
1122 Richmond Road
Staten Island
, New York 10304
(201) 858-3005
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Ellen Blank
- 333 Avenue C
- Bayonne, NJ
- Zip : 07002
- Fax : (201) 858-3005
- Phone : (201) 858-4800
Second Address
- Ellen Blank
- 1122 Richmond Road
- Staten Island, NY
- Zip : 10304
- Fax : (718) 987-3451
- Phone : (718) 987-3300
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 25MA03293600 | NY |
National Provider Identifier
| NPI | 1033282900 |
|---|---|
| Provider Name | Ellen Blank |
| First Address | Bayonne, NJ 07002 |
| Second Address | Staten Island, NY 10304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2006 |
| Last Update Date | 08/07/2007 |
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.