Individual
DR. ELLEN KATHLEEN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1149
(215) 482-0465
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(212) 606-1149
(212) 774-2363
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
291169
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
291169
NY
Other
Enumeration date
09/12/2007
Last updated
12/17/2020
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