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General NPI Number Information
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NPI Number | 1487644993
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Entity Type | Organization
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Legal Business Name | ELLIS HOSPITAL
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1101 NOTT ST
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City | SCHENECTADY
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State | NY
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Zip | 12308-2425
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Country | US
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Telephone | 518-243-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 433 STATE ST
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City | SCHENECTADY
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State | NY
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Zip | 12305-2322
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. PAUL A MILTON
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Credential |
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Telephone | 518-243-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4601001H
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License Number State | NY
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