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General NPI Number Information
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NPI Number | 1902975717
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Entity Type | Individual
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Provider Name | ELLEN F CRAIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1400 PELHAM PKWY S 1B-25 JACOBI MEDICAL CENTER
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City | BRONX
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State | NY
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Zip | 10461-1138
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Country | US
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Telephone | 718-918-5817
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Fax | 718-918-7459
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Provider Business Mailing Address
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Address Line | 801 W END AVE
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City | NEW YORK
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State | NY
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Zip | 10025-5368
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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 |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 140614
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 140614
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License Number State | NY
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