# ELLIS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLIS HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760614317
- **Legal business name:** ELLIS HOSPITAL
- **Authorized official:** PAUL A MILTON (PRESIDENT & CEO)
- **Authorized official phone:** (518) 243-4141

## Contact information

- **Practice address:** 1101 NOTT ST, SCHENECTADY, NY 12308
- **Practice address phone:** (518) 243-4000
- **Mailing address:** 600 MCCLELLAN ST, 2 WEST, SCHENECTADY, NY 12304-1009
- **Mailing address phone:** (518) 347-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4601001H | NY | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | 4601001H | NY | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 4601001H | NY | — |
| 2084P0800X | Psychiatry Physician | 4601001H | NY | — |
| 208600000X | Surgery Physician | 4601001H | NY | — |
| 208M00000X | Hospitalist Physician | 4601001H | NY | — |

## Other

- **Enumeration date:** 08/17/2009
- **Last updated:** 08/15/2018