Individual
DR. ROBIN SAMUEL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
243 WEST END AVENUE, NEW YORK, NY 10023
(212) 595-1100
(212) 595-1797
Mailing address
12 W. 72ND STREET, APT. 20D, NEW YORK, NY 10023-4166
(212) 496-6397
(212) 595-1797
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
042362
NY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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