# ELLIS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELLIS HOSPITAL
- **Other names:** Ellis Hospital - Hospitalist Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801658851
- **Legal business name:** ELLIS HOSPITAL
- **Authorized official:** CYNTHIA ANN WICKS (MANAGER ACCOUNTS RECEIVABLE)
- **Authorized official phone:** (518) 382-2313

## Contact information

- **Practice address:** 1101 NOTT ST \# B5, SCHENECTADY, NY 12308-2425
- **Practice address phone:** (518) 243-4135
- **Mailing address:** PO BOX 1022, SCHENECTADY, NY 12301-1022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2024
- **Last updated:** 01/25/2024