Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY IRA ELLIS, M.D.
ActiveDR. JEFFREY IRA ELLIS, M.D. is a Procedural Dermatology healthcare provider located in HICKSVILLE, New York. NPI 1285748293 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · HICKSVILLE, NY
Registration Details
- NPI Number
- 1285748293
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2006 (20.011543776643 yrs)
- Last Updated
- Nov 2, 2021
- Licenses
-
234545 (NY)234545 (NY)234545 (NY)234545-01 (NY)
Practice Information
- Address
-
358 S OYSTER BAY RDHICKSVILLE, NY, 118013508Browse NY providers · Browse ZIP 11801
- Phone
- 5168227546
- Fax
- 5169377546
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Procedural Dermatology
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.