Individual provider · Type 1 NPI

Jeffrey Ira Ellis, MD

Procedural Dermatology Physician · Hicksville, NY

NPI number 1285748293 Active

Practice location

358 S Oyster Bay Rd
Hicksville, NY 11801-3508

Fax (516) 937-7546

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X234545 (NY)
MOHS-Micrographic Surgery Physician 207ND0101X234545 (NY)
Pediatric Dermatology Physician 207NP0225X234545 (NY)
Procedural Dermatology Physician Primary 207NS0135X234545-01 (NY)

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

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About NPI 1285748293

Jeffrey Ira Ellis, MD's National Provider Identifier is 1285748293, issued on Aug 18, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Hicksville, NY. The record was last updated on Nov 2, 2021.