# ELLISTON AND NG, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013263680
- **Authorized official:** DR. LAUREN NOELLE ELLISTON MD (PARTNER)
- **Authorized official phone:** (917) 397-2268

## Contact information

- **Practice address:** 1050 5TH AVE, SUITE 1, NEW YORK, NY 10028-0110
- **Practice address phone:** (917) 397-2268
- **Practice address fax:** (917) 397-2268
- **Mailing address:** 1050 5TH AVE, SUITE 1, NEW YORK, NY 10028-0110
- **Mailing address phone:** (917) 397-2268
- **Mailing address fax:** (917) 397-2268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 262869 | NY | Yes |

## Other

- **Enumeration date:** 07/31/2012
- **Last updated:** 07/31/2012