Individual
DAVID WILLIAM ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 PENNSYLVANIA AVE, ORTHOPEDIC ASSOCIATES, BINGHAMTON, NY 13903
(607) 723-5393
(607) 771-0803
Mailing address
65 PENNSYLVANIA AVE, ORTHOPEDIC ASSOCIATES, BINGHAMTON, NY 13903
(607) 723-5393
(607) 771-0803
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
162071
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
162071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01350114
—
NY
Enumeration date
08/25/2006
Last updated
03/23/2021
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