Organization
ELLIS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A MILTON (CEO)
(518) 243-4000
Entity
Organization
Contact information
Practice address
1023 STATE ST, SCHENECTADY, NY 12307-1511
(518) 243-3300
(518) 377-9151
Mailing address
1023 STATE ST, SCHENECTADY, NY 12307-1511
(518) 243-3300
(518) 377-9151
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6525110A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01207038
—
NY
Enumeration date
08/30/2007
Last updated
03/13/2018
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