MEDICARE: ELLEN GINSBERG D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	172644	NY
2	208VP0000X	Pain Medicine Physician	172644-1	NY

General Provider Information

NPI Number	:	1134155906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN GINSBERG D.O.

Provider Business Mailing Address
First Line	:	36 CHERRY HILL CT
Second Line	:
City	:	BRIARCLIFF MANOR
State	:	NY
Zip	:	10510-1245
Country	:	US
Telephone Number	:	914-762-3490
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 BARTOW AVE 227
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-4614
Country	:	US
Telephone Number	:	718-320-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	11/12/2015

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Directions to “ ELLEN GINSBERG D.O.” Practice Location

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