Ellen Blank, MD
Dermatology in Staten Island, NY. Individual provider (NPI-1).
NPI number1033282900
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1033282900
- Entity type
- Individual (NPI-1)
- Name
- Ellen Blank
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 25MA03293600 | NY | Yes |
Practice location
1122 Richmond RoadStaten Island, NY 10304
Phone 718-987-3300 · Fax 718-987-3451
Mailing address
333 Avenue CBayonne, NJ 07002
Phone 201-858-4800 · Fax 201-858-3005
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- Keith Ryan Jackson MD PCNPI 1326216847
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All 16 Dermatology Physician providers in Staten Island · All 15,106 providers in Staten Island
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