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1992803340

NPI Code Detail

MEDICARE: ELLEN BONDAR MD

MEDICARE: ELLEN BONDAR MD

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	208M00000X	Hospitalist Physician	218623	NY
2	207R00000X	Internal Medicine Physician	218623	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992803340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN BONDAR MD

Provider Business Mailing Address
First Line	:	400 E MAIN ST
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3417
Country	:	US
Telephone Number	:	914-242-8318
Fax Number	:	914-666-1965

Provider Business Practice Location Address
First Line	:	1275 YORK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6007
Country	:	US
Telephone Number	:	212-639-2000
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/19/2026

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Directions to “ ELLEN BONDAR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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