Individual provider · Type 1 NPI

Ellen Dale, MS

Specialist · Staten Island, NY

NPI number 1609138122 Active

Practice location

2025 Richmond Ave
Staten Island, NY 10314-3937

Call (718) 447-0961 Map

Mailing address

222 Warwick Ave
Staten Island, NY 10314-4356

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X588976941 (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 1609138122

Ellen Dale, MS's National Provider Identifier is 1609138122, issued on Jun 11, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on May 18, 2015.