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

ELLENVILLE MEDICAL GROUP

Active Organization

ELLENVILLE MEDICAL GROUP is a Internal Medicine organization located in ELLENVILLE, New York. NPI 1831222058 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · ELLENVILLE, NY

Registration Details

NPI Number
1831222058
Provider Type
Organization
NPI Issued
Mar 14, 2007 (19.237680986111 yrs)
Last Updated
Aug 22, 2020
License
095044 (NY)

Practice Information

Address
60 CENTER ST
ELLENVILLE, NY, 124281313
Browse NY providers · Browse ZIP 12428
Phone
8456473354
Fax
8456477487
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Organizations in ELLENVILLE, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.