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NPI Profile for MARK K ELLIS in NEW YORK, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Services |
207PE0004X | 93 | Physician/Emergency Medicine |
| NPI Number | 1659682219 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/29/2010 | |
| Last updated | 06/02/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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MARK K ELLIS
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MARK K ELLIS, MD