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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELLEN BLANK, MD

Active

ELLEN BLANK, MD is a Dermatology healthcare provider located in STATEN ISLAND, New York. NPI 1033282900 is currently active in the NPPES registry. Verify at CMS.

Dermatology · STATEN ISLAND, NY

Registration Details

NPI Number
1033282900
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2006 (19.754108125454 yrs)
Last Updated
Jul 8, 2007
License
25MA03293600 (NY)

Practice Information

Address
1122 RICHMOND ROAD
STATEN ISLAND, NY, 10304
Browse NY providers · Browse ZIP 10304
Phone
7189873300
Fax
7189873451
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in STATEN ISLAND, NY

Name Credential NPI
DR. CHARLES G BERNSTEIN MD 1508847104
MICHAEL KURZMAN M.D. 1295707131
DR. DANIEL BUCHEN MD 1922069467
DR. JOSIANE LEDERMAN M.D. 1619981511
MRS. PATRICIA C MCCORMACK M.D. 1891887543
DR. KEITH RYAN JACKSON M.D. 1124116041
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.