Individual
ETHAN KRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(347) 577-4410
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2060
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
328063
NY
Other
Enumeration date
03/21/2019
Last updated
12/15/2025
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