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General NPI Number Information
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NPI Number | 1134155906
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Entity Type | Individual
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Provider Name | ELLEN GINSBERG D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 2100 BARTOW AVE 227
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City | BRONX
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State | NY
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Zip | 10475-4614
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Country | US
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Telephone | 718-320-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 36 CHERRY HILL CT
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-1245
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Country | US
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Telephone | 914-762-3490
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 172644
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 172644-1
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License Number State | NY
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