Organization
ELLISTON AND NG, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN NOELLE ELLISTON MD (PARTNER)
(917) 397-2268
Entity
Organization
Contact information
Practice address
1050 5TH AVE, SUITE 1, NEW YORK, NY 10028-0110
(917) 397-2268
(917) 397-2268
Mailing address
1050 5TH AVE, SUITE 1, NEW YORK, NY 10028-0110
(917) 397-2268
(917) 397-2268
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
262869
NY
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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