# THOMASENA L ELLISON MD PC

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

## Provider details

- **NPI number:** 1083859425
- **Authorized official:** THOMASENA L ELLISON MD (DOCTOR)
- **Authorized official phone:** (718) 222-0393

## Contact information

- **Practice address:** 100 LIVINGSTON ST, SUITE 3, BROOKLYN, NY 11201-5023
- **Practice address phone:** (718) 222-0393
- **Mailing address:** 100 LIVINGSTON ST, SUITE 3, BROOKLYN, NY 11201-5023
- **Mailing address phone:** (718) 222-0393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 1802491 | NY | Yes |

## Other

- **Enumeration date:** 12/15/2008
- **Last updated:** 07/02/2014