Individual provider · Type 1 NPI

Eugene Ellis, MD

Specialist · Brooklyn, NY

NPI number 1194721142 Active

Practice location

967 48th St
Brooklyn, NY 11219-2919

Fax (718) 238-6818

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X136939-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1194721142

Eugene Ellis, MD's National Provider Identifier is 1194721142, issued on Jun 23, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Dec 8, 2008.