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

JACK ELLENBERG, MD

Active

JACK ELLENBERG, MD is a Psychiatry healthcare provider located in NEW YORK, New York. NPI 1790879013 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · NEW YORK, NY

Registration Details

NPI Number
1790879013
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.857518141586 yrs)
Last Updated
Aug 31, 2012
License
089526 (NY)

Practice Information

Address
239 CENTRAL PARK W
NEW YORK, NY, 100246038
Browse NY providers · Browse ZIP 10024
Phone
2128731291
Fax
2127991136
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in NEW YORK, NY

Name Credential NPI
MR. ALAN HOWARD PEARL M.D. 1255336319
DR. GORDON JAY STRAUSS M.D. 1992701247
DR. SYLVIA RABSON KARASU M.D. 1083610240
DR. JOEL SOLOMON M.D. 1538165535
NEIL S. GOLDMAN MD 1699771501
DR. ALLAN M LANS D.O. 1053317750
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.