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Contact Information

MERLAN ELLIS, DPM
1685 NEWBRIDGE ROAD
NORTH BELLMORE, NY11710
 Phone: 516-826-0103
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MERLAN ELLIS · (Male)

NPI # 1558651703
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/08/2011
Last updated 12/09/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # N006683
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
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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