Individual
DR. DAVID ELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
(718) 630-8515
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
(718) 630-8515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
272363
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
272363
NY
207RP1001X
Pulmonary Disease Physician
Primary
272363
NY
Other
Enumeration date
05/30/2012
Last updated
12/01/2021
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