National Provider Identifier Database

JEFFREY I ELLIS, MD – NPI #1285748293
Procedural Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).


Contact Information

JEFFREY I ELLIS, MD
358 S OYSTER BAY RD
HICKSVILLE, NY11801-3508
Phone: 516-822-7546
Fax: 516-937-7546
Website:
Specialty Taxonomy Code
* Procedural Dermatology 207NS0135X
Dermatology 207N00000X
MOHS-Micrographic Surgery 207ND0101X
Pediatric Dermatology 207NP0225X

* Indicates primary specialty

NPI Profile & details for JEFFREY I ELLIS

NPI Number 1285748293
Credentials MD
Entity Individual
Enumeration date 08/18/2006
Last updated 11/02/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 234545
  • NY License #: 234545-01
Hospital affiliation n/a

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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