Organization
ELLENVILLE EMERGENCY MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAREED NABIEL FAREED MD (AUTHORIZED OFFICIAL)
(917) 854-8007
Entity
Organization
Contact information
Practice address
10 HEALTHY WAY, ELLENVILLE, NY 12428-5612
(469) 401-2386
Mailing address
PO BOX 781165, PHILADELPHIA, PA 19178-1165
(954) 939-5000
(877) 250-6889
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/20/2015
Last updated
04/14/2026
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