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General NPI Number Information
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NPI Number | 1780722751
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Entity Type | Organization
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Legal Business Name | ELLEN SUE GINSBERG DO PC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 2100 BARTOW AVE SUITE 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 | 1981 MARCUS AVE STE C114
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1032
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Country | US
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Telephone | 516-987-4200
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Fax | 800-297-0976
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELLEN GINSBERG
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Credential | D.O.
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Telephone | 718-320-9000
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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 | 172644-1
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License Number State | NY
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