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Contact Information

THOMASENA L ELLISON, MD FACOG
100 LIVINGSTON STREET
3RD FLOOR
BROOKLYN, NY11201
 Phone: 718-222-0393
 Fax: 718-222-3653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for THOMASENA L ELLISON · (Female)

NPI # 1114000403
Status Active
Credentials MD FACOG
Entity Individual
Enumeration date 10/23/2006
Last updated 07/02/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 1802491
  • Other ET0249 ATLANTIS
  • Other 112619613EL02 CARE PLUS
  • Other T4X ETIN
  • Other 0202017 GHI
  • Other 255780401 HEALTH PLUS
  • Other 3C1694 HEALTHNET
  • Other 30310P HIP
  • Other P406658 OXFORD
  • Other N323923 WELL CARE
Hospital affiliation(s)
  • MAIMONIDES MEDICAL CENTER - (Acute Care)
    4802 TENTH AVENUE
    BROOKLYN, NY 11219
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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