Individual
ELLEN MARY ROONEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 80TH ST, NEW YORK, NY 10021-0334
(212) 734-5533
(212) 717-1688
Mailing address
111 E 80TH ST, NEW YORK, NY 10021-0334
(212) 734-5533
(212) 717-1688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160304
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63F891
EMPIRE BC/BS
NY
01
—
NP997
OXFORD
NY
Enumeration date
07/21/2005
Last updated
07/08/2007
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