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Jerry Ellstein, M.D.

Orthopaedic Surgery, Hand Surgery in Huntington, NY. Individual provider (NPI-1).

NPI number1366480675
StatusActive
Last updated in NPPESFeb 21, 2012

Details

NPI
1366480675
Entity type
Individual (NPI-1)
Name
Jerry Ellstein
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 2, 2006
Last updated
Feb 21, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XS0106X Orthopaedic Surgery, Hand Surgery136138NYYes

Practice location

166 E Main St
Huntington, NY 11743-2948

Phone 631-427-4263 · Fax 631-427-4279

Mailing address

Po Box 92
Glen Head, NY 11545-0092

Phone 631-427-4263 · Fax 631-427-4279

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