Individual provider · Type 1 NPI

Richard Gregory Ellis, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1578095980 Active

Practice location

Nyu Langone Medical Center, 550 1st Ave
New York, NY 10016-6402

Call (212) 263-5506 Map

Mailing address

550 1st Ave
New York, NY 10016-6402

Other practice locations

  • 330 Mount Auburn St, Cambridge, MA 02138-5502 · (617) 449-5066

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X272709 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1578095980

Richard Gregory Ellis, MD's National Provider Identifier is 1578095980, issued on Apr 3, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 28, 2018.