Individual
DR. ERNST SEVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6000
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT JHMC ER, MELVILLE, NY 11747-4230
(631) 391-7700
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
195289
NY
208600000X
Surgery Physician
195289
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01490880
—
NY
Enumeration date
09/21/2006
Last updated
09/20/2021
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