Ellis Hospital
Clinic/Center, Primary Care in Schenectady, NY. Organization (NPI-2).
NPI number1023598331
StatusActive
Last updated in NPPESAug 16, 2018
Details
- NPI
- 1023598331
- Entity type
- Organization (NPI-2)
- Legal business name
- Ellis Hospital
- Organization subpart
- Yes
- Enumeration date
- Aug 16, 2018
- Last updated
- Aug 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 4601001H | NY | Yes |
Other names
- Ellis Internal Medicine (Doing Business As)
Practice location
624 McClellan St Ste G2Schenectady, NY 12304-1024
Phone 518-382-2203
Mailing address
624 McClellan St Ste G2Schenectady, NY 12304-1024
Phone 518-382-2203
Authorized official
Paul A Milton
Ceo
5182434175
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