Individual provider · Type 1 NPI

Mark Kenneth Ellis, MD

Emergency Medical Services (Emergency Medicine) Physician · New York, NY

NPI number 1659682219 Active

Practice location

2 5th Ave Apt 2D
New York, NY 10011-8832

Call (914) 393-2368 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XR72186 (AZ)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1659682219

Mark Kenneth Ellis, MD's National Provider Identifier is 1659682219, issued on Jun 29, 2010. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in New York, NY. The record was last updated on Jun 2, 2014.