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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BRENNAN ELLIS, MD
750 E ADAMS ST
SYRACUSE, NY13210-2342
 Phone: 315-464-6202
 Fax: 315-464-9501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BRENNAN ELLIS · (Male)

NPI Number 1003019514
Status Active
Credentials MD
Entity Individual
Enumeration date 06/11/2007
Last updated 04/08/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 256992
  • NY Medicaid 03248175
  • NY Other P00890823 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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