Individual
DR. GLORIA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
146 CENTRAL PARK W, NEW YORK, NY 10023-2005
(917) 562-9116
Mailing address
146 CENTRAL PARK W, NEW YORK, NY 10023-2005
(917) 562-9116
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
186168-1
NY
2084P0800X
Psychiatry Physician
Primary
186168
NY
2084P0800X
Psychiatry Physician
186168-1
NY
2084P0802X
Addiction Psychiatry Physician
186168-1
NY
2084P0804X
Child & Adolescent Psychiatry Physician
186168-1
NY
Other
Enumeration date
05/06/2008
Last updated
10/26/2017
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